Aesthetic Smiles P LLC
Organization Active NPI General Practice Dentistry · Meridian, ID
NPI 1700312907 · NPPES record last updated May 8, 2017
Key facts
- NPI
- 1700312907
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- D4225 (ID)
- Legal business name
- AESTHETIC SMILES P LLC
- Practice address
- 2015 N Locust Grove Rd
Meridian, ID 83646-1827 - Phone
- (208) 888-1802
- Fax
- (208) 887-3908
- NPI assigned
- May 8, 2017
- Organization subpart
- No
Authorized official
- Name
- Teresa Lechuga
- Title
- Office Manager
- Phone
- (208) 888-1802
Corporate family (same tax ID) 1
Practitioners 1
-
Jeffrey K Davis, DDS
National Provider Directory
- Tax ID family
- Aesthetic Smiles
Locations
2015 N Locust Grove Rd
Meridian, ID 83646
Phone (208) 867-8599
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | D4225 | ID | Yes |
Addresses
Primary practice location
2015 N Locust Grove Rd
Meridian, ID 83646-1827
Mailing address
2015 N Locust Grove Rd
Meridian, ID 83646-1827
Phone (208) 888-1802
Other names
- Alpine Heights Dentistry
Other providers in Meridian, ID
- Advanced Prosthetics and Orthotics LLC
- Advanced PT LLC
- Advantage Dental Center
- Aegis Group Practice LLC
- Aesthetic Smiles
- Ageless Women'S Health Id LLC
- Yelizaveta Agiy
- Ann C Agnew
- Melissa M. M. Agoudemos
- Phillip C Agrusa
All providers in Meridian, ID · General Practice Dentistry in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2017. 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.