Idaho Endodontics Pa in Boise - Endodontics
Idaho Endodontics Pa - NPI 1417096678
Idaho Endodontics Pa is a Endodontics in Boise, Idaho. Idaho Endodontics Pa practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Idaho Endodontics Pa is 1417096678. The last update date is 2020-08-22.
Idaho Endodontics Pa's current location address is 2014 N Cole Rd, Boise, Idaho. You can contact this provider via phone number 2083769280 and fax number 2083769280. The mailing address for Idaho Endodontics Pa is 2014 N Cole Rd, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Idaho Endodontics Pa |
|---|---|
| Address | 2014 N Cole Rd, Boise, Idaho |
| Phone Number | 2083769280 |
| Fax Number | 2083769280 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRES |
|---|---|
| Authorized Official Name | Blaser R Herbert |
| Credentials | DDS |
| Telephone Number | 2083769280 |
NPI Number Detail
| NPI Number | 1417096678 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2014 N Cole Rd |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 83704 |
| Phone Number | 2083769280 |
| Fax Number | 2083769280 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 66D1481EN |
|
Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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What is the unique 10-digit identification code issued to Idaho Endodontics Pa by the Centers for Medicare & Medicaid Services?
The Idaho Endodontics Pa has been assigned the NPI (National Provider Identifier) 1417096678 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Idaho Endodontics Pa?
The Idaho Endodontics Pa is physically situated at 2014 N Cole Rd, in the city of Boise, state of ID, with the postal code 83704.
What is Idaho Endodontics Pa's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Idaho Endodontics Pa is Endodontics, and the taxonomy classification code that categorizes this area of expertise is 1223E0200X.
On what date did the Idaho Endodontics Pa receive the assignment of its 1417096678 from the Centers for Medicare & Medicaid Services?
The Idaho Endodontics Pa was issued its 1417096678 by the Centers for Medicare & Medicaid Services on 2007-02-05.
As of what date were the details related to Idaho Endodontics Pa most recently updated or revised?
The information pertaining to Idaho Endodontics Pa, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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