John D Wold in Boise - General Practice

John D Wold - NPI 1114086089

John D Wold is a General Practice in Boise, Idaho. John D Wold practices all healthcare services and medical treatments related to General Practice. The NPI Number for John D Wold is 1114086089. The last update date is 2007-07-09.

John D Wold's current location address is 600 E Riverpark Ln Ste 140, Boise, Idaho. You can contact this provider via phone number 2083839155. The mailing address for John D Wold is 600 E Riverpark Ln Ste 140, Boise, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name John D Wold
Address 600 E Riverpark Ln Ste 140, Boise, Idaho
Phone Number 2083839155
Fax Number
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1114086089
Provider Enumeration Date 2006-12-07
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 600 E Riverpark Ln Ste 140
City Boise
State Idaho (ID)
Post Code 837066509
Phone Number 2083839155
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No D-3447
Definition:
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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FAQs about John D Wold

What is the unique identifier code issued to John D Wold by the Centers for Medicare & Medicaid Services (CMS)?

The John D Wold has been assigned the NPI (National Provider Identifier) 1114086089. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the John D Wold's physical address?

The John D Wold is physically located at 600 E Riverpark Ln Ste 140, in the city of Boise, ID, with the postal code 837066509.

What is John D Wold's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for John D Wold is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.

When did John D Wold receive its 1114086089 assignment?

The John D Wold was assigned its 1114086089 on 2006-12-07, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to John D Wold most recently updated or revised?

The information pertaining to John D Wold, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.

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