Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
CHILDRENS DENTISTRY
Active
Organization
CHILDRENS DENTISTRY
Active
Parent organization
CHILDRENS DENTISTRY OF IDAHO
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDRENS DENTISTRY OF IDAHO
Authorized official
DR. JEFFREY C BRYSON DDS (OWNER)
(208) 467-5100
Entity
Organization
Contact information
Practice address
515 W IDAHO AVE, ONTARIO, OR 97914-2348
(541) 709-5500
(208) 467-5199
Mailing address
515 W IDAHO AVE, ONTARIO, OR 97914-2348
(541) 709-5500
(208) 467-5199
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D10349
OR
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers