Individual provider · Type 1 NPI

Koalby Brown

General Practice Dentistry · Boise, ID

NPI number 1437641735 Active

Practice location

13219 W Persimmon Ln
Boise, ID 83713-1986

Call (208) 373-0018 Map

Fax (208) 378-9676

Other practice locations

  • 120 N A St, Grangeville, ID 83530-1211 · (208) 983-1651
  • 307 E Park St Ste 203, Mccall, ID 83638-5255 · (208) 634-5255

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD4924 (ID)

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.

2 other providers at this address

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About NPI 1437641735

Koalby Brown's National Provider Identifier is 1437641735, issued on Jun 1, 2018. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Boise, ID. The record was last updated on Apr 30, 2026.