# PARAMOUNT DENTAL PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jarvis Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093914210
- **Authorized official:** DR. COLLEEN M CROWLEY JARVIS DDS (DENTIST)
- **Authorized official phone:** (208) 888-0900

## Contact information

- **Practice address:** 1508 W CAYUSE CREEK DR, STE 150, MERIDIAN, ID 83646
- **Practice address phone:** (208) 888-0900
- **Practice address fax:** (208) 888-0950
- **Mailing address:** 1508 W CAYUSE CREEK DR, STE 150, MERIDIAN, ID 83646
- **Mailing address phone:** (208) 888-0900
- **Mailing address fax:** (208) 888-0950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D3995 | ID | Yes |

## Other

- **Enumeration date:** 07/17/2007
- **Last updated:** 06/18/2008