Organization · Type 2 NPI
Robert O Stevens Dmd, PA
Dental Clinic/Center · Boise, ID
NPI number
1336220144
Active
Practice location
10572 W Business Park Ln
Boise, ID 83709-6797
Fax (208) 375-5928
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | D1807 (ID) |
Dental Clinic/Center: Definition to come...
2 other providers at this address
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- Fenwick and Henry LLPDental Clinic/Center Boise, ID NPI 1073772281
- Intermountain Dental SpecialistsDental Clinic/Center Boise, ID NPI 1134522535
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- Pamela A. Powell, Dmd, PADental Clinic/Center Boise, ID NPI 1144653833
About NPI 1336220144
Robert O Stevens Dmd, PA's National Provider Identifier is 1336220144, issued on Oct 18, 2006. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Boise, ID. The record was last updated on May 13, 2013.