Healthcare Provider Details

I. General information

NPI: 1013187913
Provider Name (Legal Business Name): ARIEL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2008
Last Update Date: 03/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1208 11TH ST S
NAMPA ID
83651-4654
US

IV. Provider business mailing address

1208 11TH ST S
NAMPA ID
83651-4654
US

V. Phone/Fax

Practice location:
  • Phone: 208-463-1800
  • Fax:
Mailing address:
  • Phone: 208-463-1800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberD3096
License Number StateID

VIII. Authorized Official

Name: DR. RONALD J ALBRIGHT
Title or Position: PRES
Credential: DDS
Phone: 208-463-1800