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Contact Information

IDAHO ENDODONTICS
1555 S TIMESQUARE LN
BOISE, ID83709-8266
 Phone: 208-672-8860
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for IDAHO ENDODONTICS

NPI Number 1710509823
LBN Legal business name IDAHO ENDODONTICS
Authorized official AMANDA MAYLIN - (FRONT OFFICE)
Entity Organization
Organization subpart 1 No
Enumeration date 05/12/2020
Last updated 05/12/2020 - About 6 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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