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BIRCHWOOD DENTAL, PLLC
NPI 1891304556
Dentist - General Practice in Meridian, ID

Active since July 29, 2020
3325 N TEN MILE RD STE 140, MERIDIAN, ID 83646(208) 228-5499(855) 204-6128 Get Directions Write a Review

NPPES record last updated: August 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 10, 2020, Jul 29, 2020 (2 updates tracked since 2020).

About Birchwood Dental, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BIRCHWOOD DENTAL, PLLC (NPI 1891304556) is a healthcare organization registered as a general practice in Meridian, Idaho and active in the NPI registry since July 2020. The organization lists Gaylan Chris Holdaway, President, as its authorized official.

NPPES Registry Identity

NPI1891304556
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBIRCHWOOD DENTAL, PLLC
Location Address3325 N TEN MILE RD STE 140Meridian, ID 83646-6951
Mailing Address3325 N Ten Mile Rd Ste 140Meridian, ID 83646-6951 · (208) 228-5499 · Fax (855) 204-6128
Phone(208) 228-5499
Fax(855) 204-6128
Organization SubpartNo
Authorized OfficialGaylan Chris HoldawayPresident · (336) 509-0278
Enumeration DateJuly 29, 2020
Last NPPES UpdateAugust 10, 20202 updates tracked since enumeration
NPPES CertifiedAugust 10, 2020
✔ NPI 1891304556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
3325 N TEN MILE RD STE 140, Meridian, ID 83646
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Birchwood Dental, PLLC's NPI number?

The NPI number for Birchwood Dental, PLLC is 1891304556. It was assigned to this organization in the NPPES registry on July 29, 2020.

Where is Birchwood Dental, PLLC located?

Birchwood Dental, PLLC is located at 3325 N Ten Mile Rd Ste 140, Meridian, ID 83646. The listed phone number is (208) 228-5499.

What is Birchwood Dental, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Birchwood Dental, PLLC was last updated on August 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.