| Hayden Family Dental Center, Pllc | |
|
52 W Commerce Dr Hayden ID 83835-9221 | |
| (208) 772-3132 | |
| (208) 772-9742 |
| Full Name | Hayden Family Dental Center, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 52 W Commerce Dr, Hayden, Idaho |
| Authorized Official Name and Position | Benjamin D Babcock (DENTIST) |
| Authorized Official Contact | 2087723132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hayden Family Dental Center, Pllc Po Box 7 Hayden ID 83835-0007 Ph: (208) 772-3132 | Hayden Family Dental Center, Pllc 52 W Commerce Dr Hayden ID 83835-9221 Ph: (208) 772-3132 |
| NPI Number | 1649589441 |
|---|---|
| Provider Enumeration Date | 09/28/2010 |
| Last Update Date | 09/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649589441 | NPI | - | NPPES |
| 1548331986 | Other | ID | NPI |
| 2006003 | Other | WA | WA DSHS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D2001 (Idaho) | Primary |
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