A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
ID license #D3242taxonomy 1223G0001X
Identifiers
Type
Value
Notes
01 (ID)
149960173
ADA
01 (ID)
6A242
BLUE CROSS
05 (ID)
805043900
01 (ID)
000010011285
REGENCE BLUE SHIELD
01 (ID)
1992813182
NPI # INDIVIDUAL
01 (ID)
9201666
IDAHO SMILES - DORAL
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
Dentistry By Design
Type code 3recorded 2023-07-18
Dentistry By Design
Type code 3recorded 2008-03-06
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
Subpart of Dentistry By Design.
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