Organization
ELITE DENTAL CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J. JEFFREY YBARGUEN D.D.S. (OWNER)
(208) 542-9900
Entity
Organization
Contact information
Practice address
3423 MERLIN DR, SUITE 100, IDAHO FALLS, ID 83404-7430
(208) 542-9900
(208) 523-4182
Mailing address
3423 MERLIN DR, SUITE 100, IDAHO FALLS, ID 83404-7430
(208) 542-9900
(208) 523-4182
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-3536
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806047500
—
ID
Enumeration date
01/06/2007
Last updated
09/01/2010
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