Idaho Prosthodontics in Sandpoint - Prosthodontics
Idaho Prosthodontics - NPI 1275736522
Idaho Prosthodontics is a Prosthodontics in Sandpoint, Idaho. Idaho Prosthodontics practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Idaho Prosthodontics is 1275736522. The last update date is 2020-08-22.
Idaho Prosthodontics's current location address is 347 Crooked Ear Ct, Sandpoint, Idaho. You can contact this provider via phone number 2083369333 and fax number 2083871951. The mailing address for Idaho Prosthodontics is 347 Crooked Ear Ct, Sandpoint, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Idaho Prosthodontics |
|---|---|
| Address | 347 Crooked Ear Ct, Sandpoint, Idaho |
| Phone Number | 2083369333 |
| Fax Number | 2083871951 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Mooney L Darrel |
| Credentials | D.D.S., F. |
| Telephone Number | 2083369333 |
NPI Number Detail
| NPI Number | 1275736522 |
|---|---|
| Provider Enumeration Date | 2007-06-06 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 347 Crooked Ear Ct |
|---|---|
| City | Sandpoint |
| State | Idaho (ID) |
| Post Code | 838649477 |
| Phone Number | 2083369333 |
| Fax Number | 2083871951 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthodontics |
|---|---|
| Taxonomy | 1223P0700X |
| Licence No | D1650 |
|
Definition: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial |
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Post Comment/ Review Below
What is the unique identifier code issued to Idaho Prosthodontics by the Centers for Medicare & Medicaid Services (CMS)?
The Idaho Prosthodontics has been assigned the NPI (National Provider Identifier) 1275736522. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Idaho Prosthodontics is located?
The Idaho Prosthodontics is situated at the following address: 347 Crooked Ear Ct, Sandpoint, ID, 838649477.
What is Idaho Prosthodontics's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Idaho Prosthodontics's specialized field of practice is Prosthodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1275736522 to Idaho Prosthodontics?
The Idaho Prosthodontics received its 1275736522 assignment from the Centers for Medicare & Medicaid Services on 2007-06-06.
As of what date were the details related to Idaho Prosthodontics most recently updated or revised?
The information pertaining to Idaho Prosthodontics, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.