Channing Way Dental Care in Idaho Falls - General Practice
Channing Way Dental Care - NPI 1376555292
Channing Way Dental Care is a General Practice in Idaho Falls, Idaho. Channing Way Dental Care practices all healthcare services and medical treatments related to General Practice. The NPI Number for Channing Way Dental Care is 1376555292. The last update date is 2008-03-25.
Channing Way Dental Care's current location address is 2205 Channing Way, Idaho Falls, Idaho. You can contact this provider via phone number 2085293660 and fax number 2085293666. The mailing address for Channing Way Dental Care is 2205 Channing Way, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Channing Way Dental Care |
|---|---|
| Address | 2205 Channing Way, Idaho Falls, Idaho |
| Phone Number | 2085293660 |
| Fax Number | 2085293666 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PART |
|---|---|
| Authorized Official Name | Peterson L. Glade |
| Credentials | D.M.D. |
| Telephone Number | 2085293660 |
NPI Number Detail
| NPI Number | 1376555292 |
|---|---|
| Provider Enumeration Date | 2006-08-12 |
| Last Updated Date | 2008-03-25 |
Provider Mailing Address Detail
| Address | 2205 Channing Way |
|---|---|
| City | Idaho Falls |
| State | Idaho (ID) |
| Post Code | 834048016 |
| Phone Number | 2085293660 |
| Fax Number | 2085293666 |
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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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Channing Way Dental Care by the Centers for Medicare & Medicaid Services?
The Channing Way Dental Care has been issued the NPI (National Provider Identifier) 1376555292 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Channing Way Dental Care's facilities are geographically located?
The facilities of Channing Way Dental Care are physically situated at the following location: 2205 Channing Way, Idaho Falls, ID, 834048016.
What is the area of specialization for Channing Way Dental Care, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Channing Way Dental Care is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1376555292 to Channing Way Dental Care?
The Channing Way Dental Care received its 1376555292 assignment from the Centers for Medicare & Medicaid Services on 2006-08-12.
As of what date was the information regarding Channing Way Dental Care, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Channing Way Dental Care, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-03-25.