Blaisdell Dental Center, Pa in Caldwell - General Practice
Blaisdell Dental Center, Pa - NPI 1881857753
Blaisdell Dental Center, Pa is a General Practice in Caldwell, Idaho. Blaisdell Dental Center, Pa practices all healthcare services and medical treatments related to General Practice. The NPI Number for Blaisdell Dental Center, Pa is 1881857753. The last update date is 2008-07-09.
Blaisdell Dental Center, Pa's current location address is 1916 Ellis Ave, Caldwell, Idaho. You can contact this provider via phone number 2084592376 and fax number 2084591524. The mailing address for Blaisdell Dental Center, Pa is 1916 Ellis Ave, Caldwell, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Blaisdell Dental Center, Pa |
|---|---|
| Address | 1916 Ellis Ave, Caldwell, Idaho |
| Phone Number | 2084592376 |
| Fax Number | 2084591524 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Blaisdell D John |
| Credentials | DDS |
| Telephone Number | 2084592376 |
NPI Number Detail
| NPI Number | 1881857753 |
|---|---|
| Provider Enumeration Date | 2008-07-09 |
| Last Updated Date | 2008-07-09 |
Provider Mailing Address Detail
| Address | 1916 Ellis Ave |
|---|---|
| City | Caldwell |
| State | Idaho (ID) |
| Post Code | 836054811 |
| Phone Number | 2084592376 |
| Fax Number | 2084591524 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique provider identifier assigned to Blaisdell Dental Center, Pa?
The Blaisdell Dental Center, Pa has been issued the NPI (National Provider Identifier) 1881857753 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Blaisdell Dental Center, Pa's physical address?
The Blaisdell Dental Center, Pa is physically located at 1916 Ellis Ave, in the city of Caldwell, ID, with the postal code 836054811.
What is Blaisdell Dental Center, Pa's specialized field of practice, and what is the corresponding taxonomy classification code?
The Blaisdell Dental Center, Pa's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did Blaisdell Dental Center, Pa receive its 1881857753 assignment from the Centers for Medicare & Medicaid Services?
The Blaisdell Dental Center, Pa was assigned its 1881857753 on 2008-07-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Blaisdell Dental Center, Pa most recently updated or revised?
The information pertaining to Blaisdell Dental Center, Pa, including its address, specialty, and other relevant details, was last updated or revised on 2008-07-09.