Idaho Pediatric Dentistry

NPI #1467697177 in Nampa, Idaho

Provider Information

NPI Number: 1467697177
Entity Type: Organization
Organization Name: Idaho Pediatric Dentistry
Primary Specialty: Dentist - Pediatric Dentistry
Enumeration Date: Dec 9, 2008
Last Updated: Dec 9, 2008

Practice Location

Address: 4401 E FLAMINGO AVE
City: Nampa
State: Idaho
ZIP Code: 83687-3113
Phone: (208) 461-5459

Authorized Official

Name: DR. CHRISTOPHER K LOVELAND, DDS
Title: OWNER
Phone: (208) 461-5459

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X	Primary

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Individual Providers

Provider Name	Specialty	City
Scott Pickett, D.D.S.	Dentist - Pediatric Dentistry	Nampa	AI Deep Dive
Michael Pysnak, D.M.D.	Dentist - Pediatric Dentistry	Nampa	AI Deep Dive

Organizations

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Mark R Olsen DDS Pllc	Dentist - Pediatric Dentistry	Nampa	AI Deep Dive
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