Chubbuck Kidz Dental PC
Organization Active NPI Pediatric Dentistry · Chubbuck, ID
NPI 1801679287 · NPPES record last updated Aug 18, 2023
Key facts
- NPI
- 1801679287
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- Legal business name
- CHUBBUCK KIDZ DENTAL PC
- Practice address
- 371 E Chubbuck Rd
Chubbuck, ID 83202 - Phone
- (208) 358-8871
- NPI assigned
- Aug 17, 2023
- Organization subpart
- No
Authorized official
- Name
- Magdalena Evans
- Title
- Sr. Credentialing Specialist
- Phone
- (720) 272-7558
National Provider Directory
Locations
371 E Chubbuck Rd
Chubbuck, ID 83202
Phone (208) 358-8871
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry |
1223P0221X | Yes |
Addresses
Primary practice location
371 E Chubbuck Rd
Chubbuck, ID 83202
Mailing address
371 E Chubbuck Rd
Chubbuck, ID 83202
Phone (208) 425-7690
Other providers in Chubbuck, ID
- Childrens Supportive Services Incorporated
- Childrens Supportive Services Incorporated
- Elijah Chuang
- Chubbuck Chiropractic PA
- Chubbuck Fire Department
- Jan Fisher Clark
- Aaron Clayson
- Clifford Family Medicine
- Elisabeth Clonts
- Jeanna Chay Colborn
All providers in Chubbuck, ID · Pediatric 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 Aug 18, 2023. 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.