Birchwood Dental, PLLC
Organization Active NPI General Practice Dentistry · Meridian, ID
NPI 1891304556 · NPPES record last updated Aug 10, 2020
Key facts
- NPI
- 1891304556
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- BIRCHWOOD DENTAL, PLLC
- Practice address
- 3325 N Ten Mile Rd Ste 140
Meridian, ID 83646-6951 - Phone
- (208) 228-5499
- Fax
- (855) 204-6128
- NPI assigned
- Jul 29, 2020
- Organization subpart
- No
Authorized official
- Name
- Dr. Gaylan Chris Holdaway, DDS
- Title
- President
- Phone
- (336) 509-0278
Practitioners 1
National Provider Directory
Locations
3325 N Ten Mile Rd
Ste 140
Meridian, ID 83646
Phone (208) 228-5499
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
3325 N Ten Mile Rd Ste 140
Meridian, ID 83646-6951
Mailing address
3325 N Ten Mile Rd Ste 140
Meridian, ID 83646-6951
Phone (208) 228-5499
Other providers in Meridian, ID
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- Eva Bingham
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- Brian C Birch
- Tyler T Birch
- Marlene Bird
- Renae Marie Birkby
- Ashley Elizabeth Birkland
- Octavian Bistriceanu
- Erica Ann Black
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 Aug 10, 2020. 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.