E.T. Dental LLC

General Practice Dentistry · Kellogg, ID

Organization Active NPI

NPI number 1154935039

Practice location

418 W Cameron Ave
Kellogg, ID 83837-2111
Phone
(208) 682-4540

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NPI record

NPI
1154935039
Entity type
Organization (Type 2)
Enumeration date
September 8, 2020
Last updated
September 8, 2020
Certified
September 8, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X — —

Authorized official

Name
Aaron Dollahite
Title
CEO
Phone
(208) 699-0022

Other names

  • Complete Dental Care of North Idaho

About E.T. Dental LLC

E.T. Dental LLC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 418 W Cameron Ave, Kellogg, ID 83837-2111. The NPI number 1154935039 was assigned on September 8, 2020 and the record was last updated on September 8, 2020.

The authorized official for this organization is Aaron Dollahite, CEO.

Frequently asked questions

What is the NPI number of E.T. Dental LLC?

The NPI number is 1154935039.

What is the phone number of E.T. Dental LLC?

The phone number listed for the practice location is (208) 682-4540.

Where is E.T. Dental LLC located?

418 W Cameron Ave, Kellogg, ID 83837-2111.

What is the taxonomy code for E.T. Dental LLC?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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