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Magic Valley Dental Anesthesia Pllc
Pediatric Dentist in Twin Falls, Idaho
NPI 1346824422

Magic Valley Dental Anesthesia Pllc is a Pediatric Dentist based in Eagle, ID and is specialized in Pediatric Dentistry. Magic Valley Dental Anesthesia Pllc practices in Twin Falls, ID. The NPI Number for Magic Valley Dental Anesthesia Pllc is 1346824422 and holds a License No. (Idaho).

The current practice location address for Magic Valley Dental Anesthesia Pllc is 1411 Falls Ave E Ste 1000C, Twin Falls, ID and can be reached out via phone at 208-734-7415.

Location: 1411 Falls Ave E Ste 1000C, Twin Falls, ID, 83616-4413
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1346824422
Provider Name
Magic Valley Dental Anesthesia Pllc
Credential
Provider Entity Type
Organization
Address
1411 Falls Ave E Ste 1000C, Twin Falls, ID, 83616-4413
Phone Number
208-734-7415
Fax Number
Provider Enumeration Date
05/05/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1411 Falls Ave E Ste 1000C
City
Twin Falls
State
Idaho
Zip
83301-3459
Phone Number
208-734-7415
Fax Number
person
Provider Business Mailing Address Details
Address
1411 Falls Ave E Ste 1000C
City
Twin Falls
State
Idaho
Zip
83301-3459
Phone Number
208-734-7415
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Dentist Anesthesiologist
Taxonomy
1223D0004X
License No.
()
Definition
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
()
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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