Buhl Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4355 Issued in ID

Legal business name

BUHL FAMILY DENTAL

Practice address

529 Broadway Ave S
Buhl, ID 83316-1312

Phone

(208) 543-6511

Fax

(208) 543-2960

NPI assigned

Mar 27, 2012

Last updated

Mar 27, 2012By 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

Dustin Navarro, DMD

Title

Dentist

Phone

(208) 543-6511

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1659647402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 BROADWAY AVE S",
            "city": "BUHL",
            "state": "ID",
            "postal_code": "833161312",
            "telephone_number": "208-543-6511",
            "fax_number": "208-543-2960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 BROADWAY AVE S",
            "city": "BUHL",
            "state": "ID",
            "postal_code": "833161312",
            "telephone_number": "208-543-6511",
            "fax_number": "208-543-2960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUHL FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "NAVARRO",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "208-543-6511",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "4355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Buhl, ID
• Providers in Buhl, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.