Organization
WILLIAM H LLOYD
Active
Parent organization
LINCOLN DENTAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
LINCOLN DENTAL
Authorized official
WILLIAM HAROLD LLOYD DMD (OWNER)
(208) 324-8861
Entity
Organization
Contact information
Practice address
119 COUNTRY LN, JEROME, ID 83338-6147
(208) 324-8861
(208) 324-8899
Mailing address
119 COUNTRY LN, JEROME, ID 83338-6147
(208) 324-8861
(208) 324-8899
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-1478
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9201692
IDAHO SMILES
ID
Enumeration date
03/11/2008
Last updated
03/11/2008
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