North End Dental, Pllc is a Dental Clinic in Boise, Idaho. It is located at 704 N 17th Street, Boise, ID and its contact number is 208-344-0134. The authorized person for North End Dental, Pllc is Mrs. Dorothy Ann Mattefs
who is Off Mgr of the clinic and their contact number is 208-344-0134. The primary license number for North End Dental, Pllc is D-1933 (General Practice) in Idaho. North End Dental, Pllc 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:
North End Dental, Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
North End Dental, Pllc
Specialization:
General Practice Dentistry
Clinic Address:
704 N 17th Street, Boise, Idaho, 83702
Phone:
208-344-0134
Fax:
208-388-3990
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:
Mrs. Dorothy Ann Mattefs
Position:
Off Mgr
Contact Number:
208-344-0134
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 North End Dental, Pllc clinic are as mentioned below.
NPI Number:
1902916018
NPI Enumeration Date:
30 Aug, 2006
NPI Last Update On:
11 Dec, 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 North End Dental, Pllc are as mentioned below.
Specialization
License Number
State
Status
General Practice
D-1933
Idaho
Primary
General Practice
D1933
Idaho
Secondary
General Practice
D4007
Idaho
Secondary
General Practice
D-3957
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
000998900
Medicaid
Idaho
807523400
Medicaid
Idaho
69948
Other
Idaho
Blue Cross
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
North End Dental, Pllc 704 N 17th Street, Boise, Idaho
Zip:
83702
Phone Number:
208-344-0134
Fax Number:
208-388-3990
Patients can reach North End Dental, Pllc at 704 N 17th Street, Boise, Idaho or can call to book an appointment on 208-344-0134. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.