Idaho Pediatric Dentistry in Nampa - Special Hospital
Idaho Pediatric Dentistry - NPI 1659530103
Idaho Pediatric Dentistry is a Special Hospital in Nampa, Idaho. Idaho Pediatric Dentistry practices all healthcare services and medical treatments related to Special Hospital. The NPI Number for Idaho Pediatric Dentistry is 1659530103. The last update date is 2008-06-09.
Idaho Pediatric Dentistry's current location address is 4401 E Flamingo Ave, Nampa, Idaho. You can contact this provider via phone number 2084615459. The mailing address for Idaho Pediatric Dentistry is 4401 E Flamingo Ave, Nampa, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Idaho Pediatric Dentistry |
|---|---|
| Address | 4401 E Flamingo Ave, Nampa, Idaho |
| Phone Number | 2084615459 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Nelson A Kathi |
| Telephone Number | 2084615459 |
NPI Number Detail
| NPI Number | 1659530103 |
|---|---|
| Provider Enumeration Date | 2008-06-09 |
| Last Updated Date | 2008-06-09 |
Provider Mailing Address Detail
| Address | 4401 E Flamingo Ave |
|---|---|
| City | Nampa |
| State | Idaho (ID) |
| Post Code | 836873113 |
| Phone Number | 2084615459 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Special Hospital |
|---|---|
| Taxonomy | 284300000X |
| Licence No | D3936PD |
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Definition: A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 805011445 | ID | -- |
Post Comment/ Review Below
What is the Idaho Pediatric Dentistry's 1659530103?
The Idaho Pediatric Dentistry's NPI (National Provider Identifier) Number is 1659530103. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Idaho Pediatric Dentistry?
The Idaho Pediatric Dentistry is physically situated at 4401 E Flamingo Ave, in the city of Nampa, state of ID, with the postal code 836873113.
What is the Idaho Pediatric Dentistry's area of specialization and corresponding taxonomy classification?
The Idaho Pediatric Dentistry's specialty field is Special Hospital, and it falls under the taxonomy code 284300000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1659530103 to Idaho Pediatric Dentistry?
The Idaho Pediatric Dentistry received its 1659530103 assignment from the Centers for Medicare & Medicaid Services on 2008-06-09.
When was the information regarding Idaho Pediatric Dentistry most recently updated?
The details pertaining to the Idaho Pediatric Dentistry, including its address, specialty, and other relevant information, were last refreshed on 2008-06-09.