Organization · Type 2 NPI
Stone Ridge Dental P.c.
Preferred Provider Organization · Blackfoot, ID
NPI number
1609113455
Active
Practice location
380 W Judicial St
Blackfoot, ID 83221-2122
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | D-4169 (ID) |
Preferred Provider Organization: A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Another provider at this address
Other preferred provider organization providers in Blackfoot
About NPI 1609113455
Stone Ridge Dental P.c.'s National Provider Identifier is 1609113455, issued on Jan 14, 2013. The primary taxonomy on file is Preferred Provider Organization (305R00000X), and the practice location is in Blackfoot, ID. The record was last updated on Jan 14, 2013.