Idaho City Family Dentistry
Organization Active NPI General Practice Dentistry · Idaho City, ID
NPI 1992964597 · NPPES record last updated Jun 9, 2008
Key facts
- NPI
- 1992964597
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- IDAHO CITY FAMILY DENTISTRY
- Practice address
- 219 Main Street
Idaho City, ID 83631 - Phone
- (208) 392-9900
- Fax
- (208) 392-9933
- NPI assigned
- Jun 9, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Shane D Vania, DDS
- Title
- Dentist
- Phone
- (208) 392-9900
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
219 Main Street
Idaho City, ID 83631
Mailing address
219 Main Street
PO Box 1010
Idaho City, ID 83631-1010
Phone (208) 392-9900
Other providers in Idaho City, ID
- Boise House Calls, LLC
- County of Boise School Dist 72
- East Boise County Ambulance District
- East Boise County EMS District
- Health and Financial Consulting
- Lynda J Maricle-Kuwahara
- Vicki Voss
All providers in Idaho City, 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 Jun 9, 2008. 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.