Integrity Care Dental LLC
Organization Active NPI Dental Clinic/Center · Payette, ID
NPI 1306603386 · NPPES record last updated Mar 5, 2024
Key facts
- NPI
- 1306603386
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- INTEGRITY CARE DENTAL LLC
- Practice address
- 1105 3Rd Ave N
Payette, ID 83661-2407 - Phone
- (208) 642-9763
- Fax
- (208) 642-3554
- NPI assigned
- Mar 5, 2024
- Organization subpart
- No
Authorized official
- Name
- Dr. Justin Craig Smith, DMD
- Title
- Owner
- Phone
- (208) 642-9763
Practitioners 2
-
Justin Craig Smith, DMD
-
Janean Lewis, D.D.S.
National Provider Directory
Locations
1105 3rd Ave N
Payette, ID 83661
Phone (208) 642-9763
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
1105 3Rd Ave N
Payette, ID 83661-2407
Mailing address
1105 3Rd Ave N
Payette, ID 83661-2407
Phone (208) 642-9763
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.