# HAYDEN FAMILY DENTAL CENTER, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649589441
- **Authorized official:** DR. BENJAMIN D BABCOCK DDS (DENTIST)
- **Authorized official phone:** (208) 772-3132

## Contact information

- **Practice address:** 52 W COMMERCE DR, HAYDEN, ID 83835-9221
- **Practice address phone:** (208) 772-3132
- **Practice address fax:** (208) 772-9742
- **Mailing address:** PO BOX 7, HAYDEN, ID 83835-0007
- **Mailing address phone:** (208) 772-3132
- **Mailing address fax:** (208) 772-9742

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D2001 | ID | Yes |

## Other

- **Enumeration date:** 09/28/2010
- **Last updated:** 09/28/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1548331986 | NPI | ID |
| 01 | — | 2006003 | WA DSHS | WA |