Provider Demographics
NPI:1346506508
Name:FILIP E ORBAN DDS PA
Entity Type:Organization
Organization Name:FILIP E ORBAN DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FILIP
Authorized Official - Middle Name:
Authorized Official - Last Name:ORBAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:208-786-7031
Mailing Address - Street 1:302 E CAMERON AVE
Mailing Address - Street 2:
Mailing Address - City:KELLOGG
Mailing Address - State:ID
Mailing Address - Zip Code:83837-2333
Mailing Address - Country:US
Mailing Address - Phone:208-786-7031
Mailing Address - Fax:
Practice Address - Street 1:302 E CAMERON AVE
Practice Address - Street 2:
Practice Address - City:KELLOGG
Practice Address - State:ID
Practice Address - Zip Code:83837-2333
Practice Address - Country:US
Practice Address - Phone:208-786-7031
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-02
Last Update Date:2012-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDD4387122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty