SUMMIT VIEW DENTAL SERVICES PLLC (NPI# 1265878995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265878995 |
Entity Type | Organization |
Organization Name | SUMMIT VIEW DENTAL SERVICES PLLC |
Practice Address |
211 E Custer St Mackay ID 83251 |
Mailing Address |
Po Box 86 Mackay ID 83251-0086 |
Practice Telephone | 2085883316 |
Practice Fax Number | 2085883316 |
Mailing Telephone | 2085883316 |
Mailing Fax Number | 2085883316 |
Enumeration Date | 2013-05-21 |
Last Update Date | 2013-05-21 |
Authorized Official Name | DR. BRENT CHARLES GOLDTHORPE (OWNER/PRESIDENT) |
Authorized Official Telephone | 4068461586 |
Authorized Official Credential | D.M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QD0000X |
Clinic/Center Specialization: Dental |
D-4080 | ID | Ambulatory Health Care Facilities |
Y | 122300000X | Dentist | D-4080 | ID | Dental Providers |
Street Address |
211 E CUSTER ST |
City | MACKAY |
State | ID |
Zip Code | 83251 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679029805 | Lori Palmer | In Home Supportive Care | 402 Elm Street, Mackay, ID 83251 | 2016-08-28 |
1144512427 | Two Rivers Family and Cosmetic Dentistry, P.a. | Dentist | 304 So Main Street, Mackay, ID 83251 | 2011-05-05 |
1871766519 | O-bar Family Dental | Clinic/Center | 304 So Main, Mackay, ID 83251 | 2008-04-02 |
1225254238 | Personal Home Care Inc. | Nursing Care | 211 Elm, Mackay, ID 83251 | 2007-04-18 |
1760402663 | Lost Rivers Medical Center | Family Medicine | 313 Hwy 93, Mackay, ID 83251 | 2006-07-20 |
1063918464 | Idaho Psychological Resources LLC | Social Worker | 4433 Beverland Road, Mackay, ID 83251 | 2018-04-04 |
1174829238 | Two Rivers Dental, Pllc | Dentist | 304 S Main St, Mackay, ID 83251 | 2011-02-07 |
1487764551 | South Custer Emergency Medical Technicians Inc | Ambulance | 202 Mccaleb Str, Mackay, ID 83251-0037 | 2006-08-30 |
1841359551 | Mountain High Shuttle LLC | Non-emergency Medical Transport (VAN) | 204 White Knob, Mackay, ID 83251-0212 | 2006-12-08 |
1780751966 | Valley Vista Care Corporation | Assisted Living Facility | 4433 Beverland Road, Mackay, ID 83251-0239 | 2006-11-30 |
Find all providers in zip 83251 |
Taxonomy Code | 122300000X |
Grouping | Dental Providers |
Classification | Dentist |
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144512427 | Two Rivers Family and Cosmetic Dentistry, P.a. | Dentist | 304 So Main Street, Mackay, ID 83251 | 2011-05-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
1548887136 | Bald 1 Sleep Solutions LLC | Dentist | 790 N Meridian St, Blackfoot, ID 83221-4936 | 2020-06-29 |
1346870144 | Sleep Better Idaho LLC | Dentist | 3200 N Leslie Way, Meridian, ID 83646-5362 | 2020-01-21 |
1083269443 | Zachary Miller | Dentist | 700 W Ironwood Dr Ste 241, Coeur D Alene, ID 83814-4404 | 2019-08-02 |
1639723778 | Lindsey N R Gross | Dentist | 1800 Lincoln Way Ste 100, Coeur D Alene, ID 83814-2570 | 2019-07-26 |
1093369241 | Daniel Bryan Ackerman | Dentist | 10200 W Emerald St Ste 105, Boise, ID 83704-8900 | 2019-07-26 |
1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
1811419930 | Kasey Hendricks | Dentist | 322 East Main St., St. Anthony, ID 83445 | 2017-07-11 |
1659805075 | Ryan Michael Leininger | Dentist | 205 W Highway 95, Parma, ID 83660-5519 | 2017-04-12 |
1346789534 | Summit Dental Care Paul, Pllc | Dentist | 207 W Ellis Street, Paul, ID 83347 | 2017-02-21 |
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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.