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Contact Information

EASTERN IDAHO ENDODONTICS
3335 S. HOLMES AVE
IDAHO FALLS, ID83404
 Phone: 208-524-3770
 Fax: 208-524-3795
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for EASTERN IDAHO ENDODONTICS

NPI # 1427618958
LBN Legal business name EASTERN IDAHO ENDODONTICS
Authorized official BART MORRISON - (OWNER/ENDODONTISTS)
Entity Organization
Organization subpart 1 No
Enumeration date 06/17/2019
Last updated 06/17/2019 - About 7 years ago
Identifiers n/a
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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