Boise Oral And Maxillofacial Surgery in Boise - Oral And Maxillofacial Surgery
Boise Oral And Maxillofacial Surgery - NPI 1699949750
Boise Oral And Maxillofacial Surgery is a Oral And Maxillofacial Surgery in Boise, Idaho. Boise Oral And Maxillofacial Surgery practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Boise Oral And Maxillofacial Surgery is 1699949750. The last update date is 2008-04-18.
Boise Oral And Maxillofacial Surgery's current location address is 6363 W Emerald St, Boise, Idaho. You can contact this provider via phone number 2083764550 and fax number 2083764552. The mailing address for Boise Oral And Maxillofacial Surgery is 6363 W Emerald St, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Boise Oral And Maxillofacial Surgery |
|---|---|
| Address | 6363 W Emerald St, Boise, Idaho |
| Phone Number | 2083764550 |
| Fax Number | 2083764552 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Kempers Kevin |
| Credentials | DDS/MD |
| Telephone Number | 2083764550 |
NPI Number Detail
| NPI Number | 1699949750 |
|---|---|
| Provider Enumeration Date | 2008-04-18 |
| Last Updated Date | 2008-04-18 |
Provider Mailing Address Detail
| Address | 6363 W Emerald St |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837048783 |
| Phone Number | 2083764550 |
| Fax Number | 2083764552 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | D-3407 |
|
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Post Comment/ Review Below
What is the unique identifier code issued to Boise Oral And Maxillofacial Surgery by the Centers for Medicare & Medicaid Services?
The Boise Oral And Maxillofacial Surgery has been assigned the NPI (National Provider Identifier) 1699949750. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Boise Oral And Maxillofacial Surgery located?
The Boise Oral And Maxillofacial Surgery is located at 6363 W Emerald St, Boise, ID 837048783.
What is Boise Oral And Maxillofacial Surgery's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Boise Oral And Maxillofacial Surgery is Oral And Maxillofacial Surgery, and the corresponding taxonomy classification code for this specialized field is 1223S0112X.
On what date did the Boise Oral And Maxillofacial Surgery receive its 1699949750 assignment from the Centers for Medicare & Medicaid Services?
The Boise Oral And Maxillofacial Surgery was assigned its 1699949750 by the Centers for Medicare & Medicaid Services on 2008-04-18.
As of what date were the details pertaining to Boise Oral And Maxillofacial Surgery last refreshed?
The information related to the Boise Oral And Maxillofacial Surgery, including its address, specialty, and other relevant details, was last updated on 2008-04-18.
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