Lake Harbor Dental is a Dental Clinic in Boise, Idaho. It is located at 5355 W State St, Boise, ID and its contact number is 208-853-4687. The authorized person for Lake Harbor Dental is Mr. Michael Eugene Peterson
who is President of the clinic and their contact number is 208-853-4687. The primary license number for Lake Harbor Dental is D3044 (General Practice) in Idaho. Lake Harbor Dental Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Lake Harbor Dental Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Lake Harbor Dental
Specialization:
General Practice Dentistry
Clinic Address:
5355 W State St, Boise, Idaho, 83703-3333
Phone:
208-853-4687
Fax:
208-853-4690
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:
Mr. Michael Eugene Peterson
Position:
President
Contact Number:
208-853-4687
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 Lake Harbor Dental clinic are as mentioned below.
NPI Number:
1639310089
NPI Enumeration Date:
16 Mar, 2009
NPI Last Update On:
16 Mar, 2009
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lake Harbor Dental are as mentioned below.
Specialization
License Number
State
Status
General Practice
D3044
Idaho
Primary
General Practice
D4142
Idaho
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Lake Harbor Dental 5355 W State St, Boise, Idaho
Zip:
83703-3333
Phone Number:
208-853-4687
Fax Number:
208-853-4690
Patients can reach Lake Harbor Dental at 5355 W State St, Boise, Idaho or can call to book an appointment on 208-853-4687. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.