Stone Ridge Dental Inc
Stone Ridge Dental Inc is a Preferred Provider Organization in Shelley, Idaho. Licensed in Idaho. Registered with an NPI since 2008.
- Licensed in
- ID
- In the registry since
- 2008
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1035 October CvShelley, ID 83274-5068
Phone: (208) 357-0307
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence D-4169 (ID) |
|---|
Record details
| NPI number | 1558512277 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Curtis Carpenter — Owner · (208) 346-7045 |
| NPI enumerated | October 1, 2008 |
| Last updated in NPPES | October 1, 2008 |
| Mailing address | 295 Anderson Road, Shelley, ID 83274 |