Organization
IDAHO DENTAL PROFESSIONALS, P.C.
Active
Parent organization
IDAHO DENTAL PROFESSIONALS, P.C.
Other names
Bristol Heights Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
IDAHO DENTAL PROFESSIONALS, P.C.
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
Entity
Organization
Contact information
Practice address
6085 N EAGLE RD, BOISE, ID 83713-0997
(208) 938-9912
Mailing address
6085 N EAGLE RD, BOISE, ID 83713-0997
(208) 938-9912
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us