Ryan M Kowalczyk in Boise - General Practice
Ryan M Kowalczyk - NPI 1023121795
Ryan M Kowalczyk is a General Practice in Boise, Idaho. Ryan M Kowalczyk practices all healthcare services and medical treatments related to General Practice. The NPI Number for Ryan M Kowalczyk is 1023121795. The last update date is 2023-12-06.
Ryan M Kowalczyk's current location address is 1625 W Bannock St, Boise, Idaho. You can contact this provider via phone number 2088901247 and fax number 2085495988. The mailing address for Ryan M Kowalczyk is 1625 W Bannock St, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ryan M Kowalczyk |
|---|---|
| Address | 1625 W Bannock St, Boise, Idaho |
| Phone Number | 2088901247 |
| Fax Number | 2085495988 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1023121795 |
|---|---|
| Provider Enumeration Date | 2006-08-16 |
| Last Updated Date | 2023-12-06 |
Provider Mailing Address Detail
| Address | 1625 W Bannock St |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837025155 |
| Phone Number | 2088901247 |
| Fax Number | 2085495988 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D-3689 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6P481 | ID | BLUE CROSS OF IDAHO |
Post Comment/ Review Below
What is the Ryan M Kowalczyk's 1023121795?
The Ryan M Kowalczyk's NPI (National Provider Identifier) Number is 1023121795. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Ryan M Kowalczyk?
The Ryan M Kowalczyk is situated at 1625 W Bannock St, in the city of Boise, state of ID, with the zip code 837025155.
What is the Ryan M Kowalczyk's specialty and taxonomy code?
The Ryan M Kowalczyk's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1023121795 to Ryan M Kowalczyk?
The Centers for Medicare & Medicaid Services originally issued the 1023121795 to Ryan M Kowalczyk on 2006-08-16.
When was the Ryan M Kowalczyk's information last updated?
The Ryan M Kowalczyk's information was last updated on 2023-12-06.