Ivory Edge, P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D-4660 Issued in ID

Legal business name

IVORY EDGE, P.C.

Practice address

1323 Highway 2
Suite 301
Sandpoint, ID 83864-5210

Phone

(208) 263-1412

NPI assigned

Aug 4, 2015

Last updated

Aug 4, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Benjamin D Hull, DDSNPI 1851771521

Title

Owner

Phone

(208) 263-1412

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Benjamin D Hull, D.D.S.

  • General Practice Dentistry
  • Sandpoint, ID
  • NPI 1851771521
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1447636220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 HIGHWAY 2",
            "address_2": "SUITE 301",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838645210",
            "telephone_number": "208-263-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 HIGHWAY 2",
            "address_2": "SUITE 301",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838645210",
            "telephone_number": "208-263-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVORY EDGE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "HULL",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-263-1412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ID",
            "license": "D-4660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrated Community Support
• Integrative Health Solutions PLLC
• Intermountain Family Chiropractic LLC (Intermountain Family Chiropractic)
• Internal Medicine Associates, P.a.
• Jeffrey Sorin Ispirescu, MD
• Alyssa Y Jacobson, MS
• Doug Ray Jacobson, CMT
• Jill D. James, PHARMD
• Jamie White Orthodontics, PLLC
• Jane Hoover FNP (Pend Oreille Health Care)

• Dental Clinic/Center in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Dental Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.