OrganizationActive
Fairview Dental PLLC
NPI 1992480404 · General Practice Dentistry · Caldwell, ID
Fairview Dental PLLC is a General Practice Dentistry organization in Caldwell, ID (NPI 1992480404).
Provider details
- NPI number
- 1992480404
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Sean Wasden, Coo(208) 965-9415
Practice location
329 E Logan St
Caldwell, ID 83605-4863
Phone: (208) 459-3388
Street-level locationGet directions
Mailing address
624 3rd St S
Nampa, ID 83651-3840
Registry dates
- Enumerated
- 2023-06-21
- Last updated
- 2023-06-21
- Certified
- 2023-06-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.