# GEDDES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dental Center, Blum, Wind River Dental LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336309475
- **Authorized official:** DR. MATTHEW D GEDDES DDS (MEMBER)
- **Authorized official phone:** (208) 432-2025

## Contact information

- **Practice address:** 236 RIVER VISTA PL, TWIN FALLS, ID 83301-4078
- **Practice address phone:** (208) 352-6360
- **Practice address fax:** (208) 737-5255
- **Mailing address:** 236 RIVER VISTA PL, TWIN FALLS, ID 83301-4078
- **Mailing address phone:** (208) 352-6360
- **Mailing address fax:** (208) 737-5255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1169 | WY | Yes |

## Other

- **Enumeration date:** 06/12/2008
- **Last updated:** 12/28/2019