Provider Demographics
NPI:1699817684
Name:DENTURE ARTS, INC.
Entity Type:Organization
Organization Name:DENTURE ARTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:LD
Authorized Official - Phone:208-238-1100
Mailing Address - Street 1:1448 E. CENTER
Mailing Address - Street 2:SUITE A-1
Mailing Address - City:POCATELLO
Mailing Address - State:ID
Mailing Address - Zip Code:83201
Mailing Address - Country:US
Mailing Address - Phone:208-238-1100
Mailing Address - Fax:208-233-4933
Practice Address - Street 1:1448 E. CENTER
Practice Address - Street 2:SUITE A-1
Practice Address - City:POCATELLO
Practice Address - State:ID
Practice Address - Zip Code:83201
Practice Address - Country:US
Practice Address - Phone:208-238-1100
Practice Address - Fax:208-233-4933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122400000XDental ProvidersDenturistGroup - Single Specialty