Jill Shelton Wagers is a Dentist in Boise, Idaho. Jill Shelton Wagers practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jill Shelton Wagers is 1215030184. The last update date is 2007-07-08.
Jill Shelton Wagers's current location address is 7235 Emerald St, Boise, Idaho. You can contact this provider via phone number 2083767740 and fax number 2083760468. The mailing address for Jill Shelton Wagers is 7235 Emerald St, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jill Shelton Wagers |
|---|---|
| Address | 7235 Emerald St, Boise, Idaho |
| Phone Number | 2083767740 |
| Fax Number | 2083760468 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1215030184 |
|---|---|
| Provider Enumeration Date | 2006-09-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7235 Emerald St |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837048600 |
| Phone Number | 2083767740 |
| Fax Number | 2083760468 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D3176 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6G595 | ID | BLUE CROSS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jill Shelton Wagers by the Centers for Medicare & Medicaid Services?
The Jill Shelton Wagers has been issued the NPI (National Provider Identifier) 1215030184, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jill Shelton Wagers?
The Jill Shelton Wagers is physically situated at 7235 Emerald St, in the city of Boise, state of ID, with the postal code 837048600.
What is Jill Shelton Wagers's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jill Shelton Wagers's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Jill Shelton Wagers receive the assignment of its 1215030184 from the Centers for Medicare & Medicaid Services?
The Jill Shelton Wagers was issued its 1215030184 by the Centers for Medicare & Medicaid Services on 2006-09-06.
As of what date was the information regarding Jill Shelton Wagers, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jill Shelton Wagers, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.