Organization · Type 2 NPI

Dentists of Boise and Orthodontics, PC

General Practice Dentistry · Boise, ID

NPI number 1235747338 Active

Practice location

7500 W State St Ste 110
Boise, ID 83714-6074

Call (208) 258-7740 Map

Fax (208) 350-6895

Mailing address

PO Box 920050
Dallas, TX 75392-0050

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: 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.

Other general practice dentistry providers in Boise

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NPI record

NPI: 1235747338
Entity type: Organization (Type 2)
Issued: Jul 15, 2020
Last updated: Aug 5, 2022
Status: Active

Other names

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Dentists of Boise and Orthodontics · doing business as
Dentists of Boise and Orthodontics · doing business as

Authorized official

Kevin Johnson, DDS
Owner
(208) 258-7740

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1235747338

Dentists of Boise and Orthodontics, PC's National Provider Identifier is 1235747338, issued on Jul 15, 2020. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Boise, ID. The record was last updated on Aug 5, 2022.