IDAHO BUCKEYE INC (NPI# 1083279087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083279087 |
| Entity Type | Organization |
| Organization Name | IDAHO BUCKEYE INC |
| Practice Address |
1537 2nd Ave S Payette ID 83661-2919 |
| Mailing Address |
13108 W Persimmon Ln Boise ID 83713-1986 |
| Practice Telephone | 2086424111 |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2019-05-06 |
| Authorized Official Name | DENNIS GARPETTI (DENTIST) |
| Authorized Official Telephone | 2083772160 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Payette Dental | Doing Business As Name - Organization |
| Street Address |
1537 2ND AVE S |
| City | PAYETTE |
| State | ID |
| Zip Code | 83661-2919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811279268 | Victoria L Wallace | Pharmacist | 405 S 8th Street, Payette, ID 83661 | 2011-09-12 |
| 1619056694 | James H Moore | Dentist | 925 2nd Ave No, Payette, ID 83661 | 2006-11-02 |
| 1831279538 | Justin Craig Smith | Dentist | 1105 3rd Ave North, Payette, ID 83661 | 2006-10-17 |
| 1710021506 | Dental Health Care With Heart | Dentist | 823 Center Ave, Payette, ID 83661 | 2007-02-16 |
| 1295781110 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 405 S Main St, Payette, ID 83661 | 2006-05-25 |
| 1225270523 | Norma Jean Hershey | Counselor | 695 2nd Ave S, North Entrance, Payette, ID 83661-0694 | 2009-04-01 |
| 1558498097 | Idahodhwbh Payettamhclinic | Clinic/Center | 515 16th Ave N, Payette, ID 83661-2047 | 2007-02-28 |
| 1689984254 | Idaho Dept of Health & Welfare | Clinic/Center | 515 16th Ave N, Payette, ID 83661-2047 | 2010-10-18 |
| 1154459444 | Idahodhwbh3 Payette Cmh Psr | Clinic/Center | 515 16th Ave N, Payette, ID 83661-2047 | 2007-03-01 |
| 1568590073 | Idahodhwbh3 Payette Amh Psr | Clinic/Center | 515 16th Ave N, Payette, ID 83661-2047 | 2007-02-28 |
| Find all providers in zip 83661 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
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| 1720691785 | Advanced Dentistry of Mccall | Clinic/Center | 313 Deinhard Ln, Mccall, ID 83638-4703 | 2020-08-28 |
| 1720698608 | Club 32 Dental | Clinic/Center | 624 3rd St S, Nampa, ID 83651-3840 | 2020-08-05 |
| 1831732502 | Hughes Dental Pllc | Clinic/Center | 834 Falls Ave Ste 2030, Twin Falls, ID 83301-3365 | 2019-10-24 |
| 1639637168 | Scott Carter, Inc | Clinic/Center | 982 Banks Lowman Rd, Garden Valley, ID 83622 | 2019-03-04 |
| 1306314323 | Cr Smiles - Meridian Dental Care LLC | Clinic/Center | 1500 W Cayuse Creek Dr, #100, Meridian, ID 83646 | 2018-11-07 |
| 1275015950 | Mcmillan Family Dental Pllc | Clinic/Center | 1720 W. Mcmillan, Meridian, ID 83646 | 2018-08-30 |
| 1831678903 | Town Square Dental Partners, Pllc | Clinic/Center | 8660 W Emerald St Ste 152, Boise, ID 83704-4828 | 2018-08-09 |
| 1265935902 | Wilson Dental Pllc | Clinic/Center | 10497 W Garverdale Ct Ste 107, Boise, ID 83704-5468 | 2018-03-08 |
| 1841643533 | Dental Partners Ustick Pllc | Clinic/Center | 4403 E Ustick Rd # 104, Caldwell, ID 83605-6802 | 2016-07-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.