Dille Dental, PLLC
Organization Active NPI Dentist · Cambridge, ID
NPI 1952749335 · NPPES record last updated Jun 7, 2013
Key facts
- NPI
- 1952749335
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- D4240 (ID)
- Legal business name
- DILLE DENTAL, PLLC
- Practice address
- 90 S Superior Street
Cambridge, ID 83610 - Phone
- (208) 257-4522
- Fax
- (208) 257-4523
- NPI assigned
- Jun 7, 2013
- Organization subpart
- Yes
- Parent organization (as reported)
- DILLE DENTAL, PLLC
Authorized official
- Name
- Bryan J Dille, DDS
- Title
- Owner/Dentist
- Phone
- (208) 549-1732
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Dille Dental PLLC
- Part of
- Dille Dental PLLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | D4240 | ID | Yes |
Addresses
Primary practice location
90 S Superior Street
Cambridge, ID 83610
Mailing address
PO Box 369
Cambridge, ID 83610-0369
Phone (208) 257-4522
Other providers in Cambridge, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2013. 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.