Alana Christian, DMD
Individual provider Active NPI Dentist · Mountain Home, ID
NPI 1366718280 · NPPES record last updated Feb 27, 2024
Key facts
- NPI
- 1366718280
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- D-4919 (ID)
- Practice address
- 125 S 10TH E
Mountain Home, ID 83647-3120 - Phone
- (208) 580-7091
- NPI assigned
- Mar 25, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D-4919 | ID | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D-4919 | ID | Yes |
Addresses
Primary practice location
125 S 10TH E
Mountain Home, ID 83647-3120
Mailing address
125 S 10TH E
Mountain Home, ID 83647-3120
Phone (312) 339-4115
Other providers in Mountain Home, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 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.