EAGLE ROCK DENTAL CARE ARCO PLLC (NPI# 1457608671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457608671 |
| Entity Type | Organization |
| Organization Name | EAGLE ROCK DENTAL CARE ARCO PLLC |
| Practice Address |
520 Highland Dr. Arco ID 83213 |
| Mailing Address |
520 Highland Dr. Po Box 5 Arco ID 83213 |
| Practice Telephone | 2085273472 |
| Mailing Telephone | 2085273472 |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2014-03-14 |
| Authorized Official Name | TRUDEE L CHAPPLE (OFFICE ADMINISTRATOR) |
| Authorized Official Telephone | 2085235400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | D-3271 | ID | Dental Providers |
| N | 122300000X | Dentist | D4224 | ID | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
D3063 | ID | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
D4138 | ID | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
D1608 | ID | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D1890 | ID | Dental Providers |
| Street Address |
520 HIGHLAND DR. |
| City | ARCO |
| State | ID |
| Zip Code | 83213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306104641 | Badger Inc | Counselor | 159 North Idaho Ave, Arco, ID 83213 | 2012-04-24 |
| 1194947358 | Butte County School District 111 | Specialist | 246 Sunset Drive, Arco, ID 83213 | 2007-05-03 |
| 1447476551 | Lost Rivers Emt | Ambulance | 201 North Idaho Street, Arco, ID 83213 | 2007-04-17 |
| 1588786875 | Channing Way Dental Dba Lost Rivers Dental | Dentist | 520 Highland Drive, Arco, ID 83213 | 2007-04-06 |
| 1184632382 | Apria Healthcare Inc | Durable Medical Equipment & Medical Supplies | 159 North Idaho St., #102, Arco, ID 83213 | 2006-08-03 |
| 1265515357 | Lost Rivers Hospital Pharmacy | Pharmacist | 551 Highland Dr, Arco, ID 83213 | 2006-10-23 |
| 1285747055 | Lost Rivers District Hospital | Hospice, Inpatient | 551 Highland Dr, Arco, ID 83213 | 2006-08-16 |
| 1134130107 | Lost Rivers Medical Center | Skilled Nursing Facility | 551 Highland Dr, Arco, ID 83213 | 2006-08-11 |
| 1588910913 | Lost River Emt | Ambulance | 201 N. Idaho St., Arco, ID 83213-0503 | 2012-08-03 |
| 1629627575 | Kristy L Unruh | Nurse Practitioner | 551 Highland Dr, Arco, ID 83213-5003 | 2019-09-04 |
| Find all providers in zip 83213 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588786875 | Channing Way Dental Dba Lost Rivers Dental | Dentist | 520 Highland Drive, Arco, ID 83213 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891304556 | Birchwood Dental, Pllc | Dentist | 3325 N Ten Mile Rd Ste 140, Meridian, ID 83646-6951 | 2020-07-29 |
| 1588273635 | Atlantis Dental Care, P.a. | Dentist | 13238 W Persimmon Ln Ste 100, Boise, ID 83713-1968 | 2020-07-24 |
| 1235747338 | Dentists of Boise and Orthodontics, PC | Dentist | 7500 W State St Ste 110, Boise, ID 83714-6074 | 2020-07-15 |
| 1346895232 | Tejasi Avasare | Dentist | 8321 W Overland Rd, Boise, ID 83709-1640 | 2019-08-07 |
| 1740835248 | Braden Comstock | Dentist | 2329 N Merritt Creek Loop, Coeur D Alene, ID 83814-4950 | 2019-08-02 |
| 1902450430 | Jaren M Thueson | Dentist | 106 E 1st N, Rexburg, ID 83440-1614 | 2019-08-01 |
| 1528610359 | Melissa Marie Pysnak | Dentist | 8850 W Emerald St Ste 150, Boise, ID 83704-4809 | 2019-07-11 |
| 1811555758 | Daniel Whitesitt | Dentist | 14596 Id-41, Rathdrum, ID 83858 | 2019-06-05 |
| 1104483122 | Meghan Cyrena Bristlin | Dentist | 3326 4th St Ste 3, Lewiston, ID 83501-4455 | 2019-05-24 |
| 1124684584 | Trevor Tafoya Dds Victory Dental, Pllc | Dentist | 7421 W Victory Rd, Boise, ID 83709-5106 | 2019-05-11 |
| 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.