Organization · Type 2 NPI

Advanced Dental PC

Dental Clinic/Center · Preston, ID

NPI number 1093361818 Active

Practice location

25 N 1st E
Preston, ID 83263-1325

Fax (208) 852-3294

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

2 other providers at this address

NPI record

NPI: 1093361818
Entity type: Organization (Type 2)
Issued: Aug 16, 2019
Last updated: Aug 16, 2019
Status: Active

Other names

Advanced Dental · other name
Advanced Dental Center · other name
Dr. Ryan Hirschi · other name

Authorized official

Dr. Ryan Hirschi, DDS
Owner/dentist
(208) 852-0770

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About NPI 1093361818

Advanced Dental PC's National Provider Identifier is 1093361818, issued on Aug 16, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Preston, ID. The record was last updated on Aug 16, 2019.