# JOEL R. BINGHAM, DDS, PC (DBA: PREMIER DENTAL CARE)

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

## Provider details

- **NPI number:** 1851550578
- **Authorized official:** DR. JOEL R. BINGHAM DDS (ADMINISTRATOR)
- **Authorized official phone:** (208) 466-6161

## Contact information

- **Practice address:** 801 S RISING SUN DR, NAMPA, ID 83686-6009
- **Practice address phone:** (208) 466-6161
- **Practice address fax:** (208) 298-0633
- **Mailing address:** 801 S RISING SUN DR, NAMPA, ID 83686-6009
- **Mailing address phone:** (208) 466-6161
- **Mailing address fax:** (208) 298-0633

## Taxonomy

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

## Other

- **Enumeration date:** 06/06/2008
- **Last updated:** 04/10/2024