Lynn Reed Blaisdell is a Dentist in Boise, Idaho. Lynn Reed Blaisdell practices all healthcare services and medical treatments related to Dentist. The NPI Number for Lynn Reed Blaisdell is 1649208901. The last update date is 2007-07-08.
Lynn Reed Blaisdell's current location address is 8877 W Hackamore Dr, Boise, Idaho. You can contact this provider via phone number 2083779696. The mailing address for Lynn Reed Blaisdell is 8877 W Hackamore Dr, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lynn Reed Blaisdell |
|---|---|
| Address | 8877 W Hackamore Dr, Boise, Idaho |
| Phone Number | 2083779696 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1649208901 |
|---|---|
| Provider Enumeration Date | 2006-06-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8877 W Hackamore Dr |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 8370916710 |
| Phone Number | 2083779696 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D1697 |
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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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What is the unique 10-digit identification code assigned to Lynn Reed Blaisdell by the Centers for Medicare & Medicaid Services?
The Lynn Reed Blaisdell has been issued the NPI (National Provider Identifier) 1649208901, 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 Lynn Reed Blaisdell?
The Lynn Reed Blaisdell is physically situated at 8877 W Hackamore Dr, in the city of Boise, state of ID, with the postal code 8370916710.
What is the Lynn Reed Blaisdell's area of specialization and corresponding taxonomy classification?
The Lynn Reed Blaisdell's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1649208901 to Lynn Reed Blaisdell?
The Centers for Medicare & Medicaid Services assigned the 1649208901 to Lynn Reed Blaisdell on 2006-06-28.
As of what date were the details pertaining to Lynn Reed Blaisdell last refreshed?
The information related to the Lynn Reed Blaisdell, including its address, specialty, and other relevant details, was last updated on 2007-07-08.