Organization · Type 2 NPI
Ikdo Emmett LLC
Pediatric Dentistry · Emmett, ID
NPI number
1194369371
Active
Practice location
314 S Washington Ave
Emmett, ID 83617-2952
Mailing address
3289 N Towerbridge Way
Meridian, ID 83646-8347
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | None listed |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | None listed |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
About NPI 1194369371
Ikdo Emmett LLC's National Provider Identifier is 1194369371, issued on Oct 31, 2019. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Emmett, ID. The record was last updated on Oct 31, 2019.