Idaho Pediatric Dentistry is a Pediatric Dental Clinic in Nampa, Idaho. It is located at 4401 E Flamingo Ave, Nampa, ID and its contact number is 208-461-5459. The authorized person for Idaho Pediatric Dentistry is Dr. Christopher K Loveland
who is Owner of the clinic and their contact number is 208-461-5459. The primary license number for Idaho Pediatric Dentistry is D3936 (Pediatric Dentistry) in Idaho. Idaho Pediatric Dentistry Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Idaho Pediatric Dentistry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Idaho Pediatric Dentistry
Specialization:
Pediatric Dentistry
Clinic Address:
4401 E Flamingo Ave, Nampa, Idaho, 83687-3113
Phone:
208-461-5459
Fax:
208-461-6023
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Christopher K Loveland
Position:
Owner
Contact Number:
208-461-5459
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Idaho Pediatric Dentistry clinic are as mentioned below.
NPI Number:
1467697177
NPI Enumeration Date:
09 Dec, 2008
NPI Last Update On:
09 Dec, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Idaho Pediatric Dentistry are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
D3936
Idaho
Primary
Orthodontics and Dentofacial Orthopedics
D3908
Idaho
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
807511400
Medicaid
Idaho
808185200
Medicaid
Idaho
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Idaho Pediatric Dentistry 4401 E Flamingo Ave, Nampa, Idaho
Zip:
83687-3113
Phone Number:
208-461-5459
Fax Number:
208-461-6023
Patients can reach Idaho Pediatric Dentistry at 4401 E Flamingo Ave, Nampa, Idaho or can call to book an appointment on 208-461-5459. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.