NPI 1093914210

Paramount Dental PA

Organisation General Practice Dentistry Meridian, ID

Practice location

Address: 1508 W Cayuse Creek Dr STE 150, Meridian, ID 83646
Phone: (208) 888-0900
Fax: (208) 888-0950

Authorised official

Name: Colleen M Crowley Jarvis
Title: Dentist
Phone: (208) 888-0900

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence D3995 (ID)

Other Dentist providers in Idaho →

Registry record

NPI: 1093914210
Entity type: Organization
NPI issued: 17 Jul 2007
Record last updated: 18 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.