Troy A Clovis is a Dentist in Boise, Idaho. Troy A Clovis practices all healthcare services and medical treatments related to Dentist. The NPI Number for Troy A Clovis is 1467524488. The last update date is 2007-07-08.
Troy A Clovis's current location address is 4552 N Cloverdale Road, Boise, Idaho. You can contact this provider via phone number 2083762726 and fax number 2083766401. The mailing address for Troy A Clovis is 4552 N Cloverdale Road, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Troy A Clovis |
|---|---|
| Address | 4552 N Cloverdale Road, Boise, Idaho |
| Phone Number | 2083762726 |
| Fax Number | 2083766401 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1467524488 |
|---|---|
| Provider Enumeration Date | 2006-11-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4552 N Cloverdale Road |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837132417 |
| Phone Number | 2083762726 |
| Fax Number | 2083766401 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D3039 |
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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 |
|---|---|---|---|
| 42603 | ID | BLUE SHIELD | |
| 62644 | ID | TRICARE | |
| 61002 | ID | BLUE CROSS | |
| 66D3039 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Troy A Clovis by the Centers for Medicare & Medicaid Services?
The Troy A Clovis has been issued the NPI (National Provider Identifier) 1467524488 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Troy A Clovis's physical address?
The Troy A Clovis is physically located at 4552 N Cloverdale Road, in the city of Boise, ID, with the postal code 837132417.
What is Troy A Clovis's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Troy A Clovis is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did the Troy A Clovis receive the assignment of its 1467524488 from the Centers for Medicare & Medicaid Services?
The Troy A Clovis was issued its 1467524488 by the Centers for Medicare & Medicaid Services on 2006-11-14.
When was the information regarding Troy A Clovis most recently updated?
The details pertaining to the Troy A Clovis, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.