Individual provider · Type 1 NPI

Wayne A. Mortensen, DMD

General Practice Dentistry · Boise, ID

NPI number 1801023478 Active

Practice location

9213 W State St
Boise, ID 83714-1737

Call (208) 853-3300 Map

Other practice locations

  • 317 W Cherry Ln, Meridian, ID 83642-1608 · (208) 395-1000

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XD4220 (ID)
General Practice Dentistry Primary 1223G0001XD-4220 (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 1801023478

Wayne A. Mortensen, DMD's National Provider Identifier is 1801023478, issued on Jun 22, 2009. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Boise, ID. The record was last updated on Dec 10, 2018.