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Contact Information

ADVANCED FAMILY DENTISTRY PC
1603-D 12TH AVE RD
NAMPA, ID83686
 Phone: 208-468-0590
 Fax: 208-468-9910
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for ADVANCED FAMILY DENTISTRY PC

NPI # 1790796134
LBN Legal business name ADVANCED FAMILY DENTISTRY PC
Authorized official MARCO GALVEZ - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/10/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
ID License # D3047
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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