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Idaho Pediatric Dentistry
Special Hospital in Nampa, Idaho
NPI 1659530103

Idaho Pediatric Dentistry is a Special Hospital based in Nampa, ID. Idaho Pediatric Dentistry practices in Nampa, ID. The NPI Number for Idaho Pediatric Dentistry is 1659530103 and holds a License No. D3936PD (Idaho).

The current practice location address for Idaho Pediatric Dentistry is 4401 E Flamingo Ave, Nampa, ID and can be reached out via phone at 208-461-5459. You can also correspond with Idaho Pediatric Dentistry through the mailing address at 4401 E FLAMINGO AVE, NAMPA, ID - 83687-3113 (mailing address contact number: 208-461-5459).

Location: 4401 E Flamingo Ave, Nampa, ID, 83687-3113
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659530103
Provider Name
Idaho Pediatric Dentistry
Credential
Provider Entity Type
Organization
Address
4401 E Flamingo Ave, Nampa, ID, 83687-3113
Phone Number
208-461-5459
Fax Number
Provider Enumeration Date
06/09/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
805011445 05 ID
institution
Provider Business Practice Location Address Details
Address
4401 E Flamingo Ave
City
Nampa
State
Idaho
Zip
83687-3113
Phone Number
208-461-5459
Fax Number
person
Provider Business Mailing Address Details
Address
4401 E Flamingo Ave
City
Nampa
State
Idaho
Zip
83687-3113
Phone Number
208-461-5459
Fax Number
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
Special Hospital
Speciality
-
Taxonomy
284300000X
License No.
D3936PD (Idaho)
Definition
A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical.
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