BABICHENKO DENTAL LAB (NPI# 1770623910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770623910 |
| Entity Type | Organization |
| Organization Name | BABICHENKO DENTAL LAB |
| Other Organization Name | EUROPEAN DENTURE CENTER |
| Practice Address |
10480 W Garverdale Ct Suite 804b Boise ID 83704-5411 |
| Practice Telephone | 2083766613 |
| Practice Fax Number | 2083766613 |
| Mailing Telephone | 2083766613 |
| Mailing Fax Number | 2083766613 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2008-08-08 |
| Authorized Official Name | MR. GENNADY S BABICHENKO (OWNER) |
| Authorized Official Telephone | 2083766613 |
| Authorized Official Credential | LD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122400000X | Denturist | LD44 | ID | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 806208700 | 05 |
| Other Name | Type Code |
|---|---|
| European Denture Center | Doing Business As Name - Organization |
| Street Address |
10480 W GARVERDALE CT SUITE 804B |
| City | BOISE |
| State | ID |
| Zip Code | 83704-5411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295768299 | Vernon L Goltry | Otolaryngology | 10480 W Garverdale Ct, Ste 806, Boise, ID 83704-5477 | 2006-07-10 |
| 1912088709 | Stephen J Rodell Dds Pa | Dentist | 10480 W Garverdale Ct, #802, Boise, ID 83704-5477 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| Taxonomy Code | 122400000X |
| Grouping | Dental Providers |
| Classification | Denturist |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750944344 | Amanda Jodi Rowe | Denturist | 10480 W Garverdale Ct Ste 804a, Boise, ID 83704-5477 | 2019-04-18 |
| 1659760684 | Charles Rollin Westerberg | Denturist | 6710 W. Overland Rd., Boise, ID 83709 | 2015-01-14 |
| 1053614248 | Public Denture Center | Denturist | 6710 W Overland Rd, Boise, ID 83709-2032 | 2010-12-10 |
| 1700099694 | Heidi Marie Van Giffen | Denturist | 6023 N. Eagle Rd, Boise, ID 83713 | 2007-05-07 |
| 1629115761 | Gennady S Babichenko | Denturist | 10480 W Garverdale Ct Ste 804b, Boise, ID 83704-5477 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1093165524 | Cody Waid | Denturist | 1833 N Lakes Pl, Meridian, ID 83646-1921 | 2016-06-15 |
| 1366800583 | Nicholas Sander | Denturist | 124 11th Ave N, Buhl, ID 83316-1602 | 2016-02-02 |
| 1720419674 | Denture Clinic of Pocatello, Inc. | Denturist | 115 S 15th Ave Ste D, Pocatello, ID 83201-4052 | 2013-12-03 |
| 1689990426 | Denture Service LLC | Denturist | 330 5th St, Lewiston, ID 83501-2408 | 2010-04-19 |
| 1598081556 | Rebecca Lynn Westerberg | Denturist | 2124 Blaine St, Caldwell, ID 83605-4426 | 2010-04-15 |
| 1386875268 | Fred Elmer Giovanini | Denturist | 505 1st Street, Suite A, Idaho Falls, ID 83401 | 2009-07-27 |
| 1013151083 | Glen M Castor | Denturist | 306 12th Ave S, Nampa, ID 83651-4246 | 2009-04-21 |
| 1609045681 | Carla Roxann Wolfrum | Denturist | 204 E Superior St, Suite #9, Sandpoint, ID 83864-1275 | 2008-02-25 |
| 1316125479 | Jeffrey Alan Kollmann | Denturist | 1120 12th Avenue South, Nampa Denture Clinic, Nampa, ID 83651 | 2008-01-31 |
| 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.