Individual provider · Type 1 NPI

Kimball Gray Mack, DMD

General Practice Dentistry · Boise, ID

NPI number 1659809200 Active

Practice location

4255 N Eagle Rd Ste 102
Boise, ID 83713-0701

Call (208) 344-6300 Map

Fax (082) 938-9906

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD5587 (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.

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About NPI 1659809200

Kimball Gray Mack, DMD's National Provider Identifier is 1659809200, issued on May 26, 2017. 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 28, 2025.