# IDAHO DENTAL PROFESSIONALS, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** IDAHO DENTAL PROFESSIONALS, P.C.
- **Other names:** Highbrook Way Dental Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1427833409
- **Legal business name:** IDAHO DENTAL PROFESSIONALS, P.C.
- **Authorized official:** BELINDA HUERTA (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 540-2100

## Contact information

- **Practice address:** 140 N HIGHBROOK WAY STE 102, STAR, ID 83669-1029
- **Practice address phone:** (208) 600-0522
- **Practice address fax:** (208) 600-0496
- **Mailing address:** 140 N HIGHBROOK WAY STE 102, STAR, ID 83669-1029
- **Mailing address phone:** (208) 600-0522
- **Mailing address fax:** (208) 600-0496

## Taxonomy

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

## Other

- **Enumeration date:** 08/29/2023
- **Last updated:** 08/29/2023