Organization · Type 2 NPI
Idaho Pediatric Dentistry
Pediatric Dentistry · Nampa, ID
NPI number
1467697177
Active
Practice location
4401 E Flamingo Ave
Nampa, ID 83687-3113
Fax (208) 461-6023
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | D3936 (ID) |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | D3908 (ID) |
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.
3 other providers at this address
Other pediatric dentistry providers in Nampa
About NPI 1467697177
Idaho Pediatric Dentistry's National Provider Identifier is 1467697177, issued on Dec 9, 2008. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Nampa, ID. The record was last updated on Dec 9, 2008.