Stone Ridge Dental PC
Stone Ridge Dental PC is a Preferred Provider Organization in Blackfoot, Idaho. Licensed in Idaho. Registered with an NPI since 2013.
- Licensed in
- ID
- In the registry since
- 2013
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
380 W Judicial StBlackfoot, ID 83221-2122
Phone: (208) 785-6833
Show map & directions
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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 | 1609113455 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Curtis Carpenter — President · (208) 357-7900 |
| Other names | Blackfoot Family Dentistry |
| NPI enumerated | January 14, 2013 |
| Last updated in NPPES | January 14, 2013 |
| Mailing address | 380 W Judicial St, Blackfoot, ID 83221-2122 |
Other providers in Blackfoot
-
Advanced Chiropractic of Blackfoot
1395 NW Main St, Blackfoot, ID 83221-3936 · (208) 785-0270