Provider Demographics
NPI:1588837496
Name:DAMON T. ARMSTRONG D.D.S., P.C
Entity Type:Organization
Organization Name:DAMON T. ARMSTRONG D.D.S., P.C
Other - Org Name:ARMSTRONG DENTAL OFFICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAMON
Authorized Official - Middle Name:T
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:208-785-3310
Mailing Address - Street 1:625 W PACIFIC ST
Mailing Address - Street 2:SUITE #4
Mailing Address - City:BLACKFOOT
Mailing Address - State:ID
Mailing Address - Zip Code:83221-2034
Mailing Address - Country:US
Mailing Address - Phone:208-785-3310
Mailing Address - Fax:208-785-3393
Practice Address - Street 1:625 W PACIFIC ST
Practice Address - Street 2:SUITE #4
Practice Address - City:BLACKFOOT
Practice Address - State:ID
Practice Address - Zip Code:83221-2034
Practice Address - Country:US
Practice Address - Phone:208-785-3310
Practice Address - Fax:208-785-3393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-11
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty