# ERROL C FIFE DDS PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Harrison Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972612489
- **Authorized official:** DR. ERROL C FIFE DDS (OWNER PRESIDENT)
- **Authorized official phone:** (208) 342-3695

## Contact information

- **Practice address:** 1675 W HILL RD, BOISE, ID 83702-0982
- **Practice address phone:** (208) 342-3695
- **Practice address fax:** (208) 342-4065
- **Mailing address:** 1675 W HILL RD, BOISE, ID 83702-0982
- **Mailing address phone:** (208) 342-3695
- **Mailing address fax:** (208) 342-4065

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D 1587 | ID | Yes |

## Other

- **Enumeration date:** 08/29/2006
- **Last updated:** 07/02/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 002562000 | — | ID |