Individual provider · Type 1 NPI

Jack H. Lincks, DDS, MS

Periodontics · Boise, ID

NPI number 1346224458 Active

Practice location

140 E Boise Ave
Boise, ID 83706-4373

Mailing address

4550 Oregon Trail Pl
Boise, ID 83716-5657

Specialties and licenses

TaxonomyCodeLicense
Periodontics 1223P0300X4199 (LA)
Periodontics Primary 1223P0300XD-3947-PE (ID)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1346224458

Jack H. Lincks, DDS, MS's National Provider Identifier is 1346224458, issued on Dec 1, 2005. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Boise, ID. The record was last updated on Jul 8, 2007.