Foothills Dental Care, Pllc, NPI 1205175668
Dentist in Idaho Falls, ID, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1205175668
NPI Entity Type Organization
Provider Name Foothills Dental Care, Pllc
Doing Business As
Subpart of Organization Foothills Dental Care, Pllc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1655 Pancheri Dr, Idaho Falls, ID, US
Provider Mailing Address 2205 Channing Way, Suite A, Idaho Falls, ID, US, 834048016
Is Sole Proprietor? No
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Organization Official

Official Name MRS. Melissa K Raichart
Official Position INSURANCE COORDINATOR
Phone 208-529-4484

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

122300000X

Taxonomy Name Dentist
Classification

Dentist

Group

Dental Providers

License No. D3971
License State ID
Description A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Other Organization Name

RiverWest Dental
Doing Business As

Business Address

Foothills Dental Care, Pllc
1655 Pancheri Dr

Idaho Falls, ID, US

Phone: 208-522-1911
Fax: 208-523-4441

Mailing Address

Foothills Dental Care, Pllc
2205 Channing Way
Suite A
Idaho Falls, ID, US
ZIP 834048016
Phone: 208-529-4484
Fax: 208-523-4441

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

122300000X

Dental Providers

Dentist

D3464 ID No

122300000X

Dental Providers

Dentist

D4302 ID No

122300000X

Dental Providers

Dentist

D1719 ID No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
1124035498 ID MEDICAID 05
1740501410 ID MEDICAID 05
1134356140 ID MEDICAID 05
1952317703 ID MEDICAID 05
1275619090 ID MEDICAID 05
1609952415 ID MEDICAID 05

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Organization

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Organization

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Organization

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Organization

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1230 Northwood Center Ct.

Ste. B

Coeur D'alene, ID

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