# ADVANTAGE DENTAL CENTER

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

## Provider details

- **NPI number:** 1952560278
- **Authorized official:** DR. LESTER ALBERT RICHINS D.M.D. (DOCTOR/OWNER)
- **Authorized official phone:** (208) 884-0888

## Contact information

- **Practice address:** 100 W OVERLAND RD, MERIDIAN, ID 83642-3051
- **Practice address phone:** (208) 884-0888
- **Practice address fax:** (208) 895-8533
- **Mailing address:** 100 W OVERLAND RD, MERIDIAN, ID 83642-3051
- **Mailing address phone:** (208) 884-0888
- **Mailing address fax:** (208) 895-8533

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D3186 | ID | Yes |

## Other

- **Enumeration date:** 06/02/2008
- **Last updated:** 06/02/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001606900 | — | ID |
| 01 | — | 6F126 | OTHER | ID |
