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Contact Information

STONE RIDGE DENTAL INC.
1035 OCTOBER CV
SHELLEY, ID83274-5068
 Phone: 208-357-0307
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for STONE RIDGE DENTAL INC.

NPI # 1558512277
LBN Legal business name STONE RIDGE DENTAL INC.
Authorized official CURTIS CARPENTER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/01/2008
Last updated 10/01/2008 - About 18 years ago
Identifiers
ID License # D-4169
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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