MBD PLLC NPI 1720419369

NPI Information

  • NPI: 1720419369
  • Provider Name: MBD PLLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: MT BALDY DENTAL CENTER
  • Address: 1305 HWY 2 WEST
    BLUIDING A SUITE A
    SANDPOINT, ID
    ZIP 83864
  • Phone: (208) 263-6806

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NPI Details

MBD PLLC is a general practice dentist in Sandpoint, ID. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MBD PLLC NPI is 1720419369. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Mt Baldy Dental Center.

The provider's business location address is:

1305 HWY 2 WEST
BLUIDING A SUITE A
SANDPOINT, ID
ZIP 83864
Phone: (208) 263-6806
Fax: (208) 265-2231

The provider's authorized official is Lynn Jensen .
The authorized official title is Finacial Officer and has the following contact phone number (208) 263-6806.

The enumeration date for this NPI number is 12/9/2013 and was last updated on 12/9/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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