# AWP DENTAL GROUP PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Modern Smiles Nampa
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972764058
- **Authorized official:** CHRIS A SATCHWELL DMD (OWNER)
- **Authorized official phone:** (208) 573-2587

## Contact information

- **Practice address:** 16458 N MIDLAND BLVD, NAMPA, ID 83687
- **Practice address phone:** (208) 461-5222
- **Practice address fax:** (208) 505-1883
- **Mailing address:** 16458 N MIDLAND BLVD, NAMPA, ID 83687
- **Mailing address phone:** (208) 461-5222
- **Mailing address fax:** (208) 505-1883

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D-4145 | ID | Yes |

## Other

- **Enumeration date:** 06/20/2008
- **Last updated:** 01/15/2025