Eagle Rock Dental Care Arco PLLC
Eagle Rock Dental Care Arco PLLC provides Dentist services in Arco, Idaho. Licensed in Idaho. Registered with an NPI since 2012.
- Licensed in
- ID
- In the registry since
- 2012
- Specialties on file
- 6
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
520 Highland DrArco, ID 83213 Not confirmed with CMS for 12 years — call before visiting
Phone: (208) 527-3472
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence D1890 (ID) |
|---|---|
| Dentist | Taxonomy 122300000X · Licence D-3271 (ID) |
| Dentist | Taxonomy 122300000X · Licence D4224 (ID) |
| General Practice Dentistry | Taxonomy 1223G0001X · Licence D3063 (ID) |
| General Practice Dentistry | Taxonomy 1223G0001X · Licence D4138 (ID) |
| General Practice Dentistry | Taxonomy 1223G0001X · Licence D1608 (ID) |
Record details
| NPI number | 1457608671 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Trudee Chapple — Office Administrator · (208) 523-5400 |
| NPI enumerated | August 7, 2012 |
| Last updated in NPPES | March 14, 2014 |
| Mailing address | 520 Highland Dr., Po Box 5, Arco, ID 83213 |