Scott Freeman in Boise - Pediatric Dentistry

Scott Freeman - NPI 1962456632

Scott Freeman is a Pediatric Dentistry in Boise, Idaho. Scott Freeman practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Scott Freeman is 1962456632. The last update date is 2007-07-08.

Scott Freeman's current location address is 6363 Emerald, Boise, Idaho. You can contact this provider via phone number 2083772150. The mailing address for Scott Freeman is 6363 Emerald, Boise, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Scott Freeman
Address 6363 Emerald, Boise, Idaho
Phone Number 2083772150
Fax Number
Sole Proprietor X
Credentials DMD, PA

NPI Number Detail

NPI Number 1962456632
Provider Enumeration Date 2006-05-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 6363 Emerald
City Boise
State Idaho (ID)
Post Code 83904
Phone Number 2083772150
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No D1479
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
D1479 ID STATE LICENSE #

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FAQs about Scott Freeman

What is the unique 10-digit identifier code assigned to Scott Freeman by the Centers for Medicare & Medicaid Services?

The Scott Freeman has been issued the NPI (National Provider Identifier) 1962456632 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Scott Freeman's facilities are situated?

The facilities of Scott Freeman are physically located at the following address: 6363 Emerald, Boise, ID, 83904.

What is the Scott Freeman's specialty and taxonomy code?

The Scott Freeman's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.

On what date did the Scott Freeman receive its 1962456632 assignment from the Centers for Medicare & Medicaid Services?

The Scott Freeman was assigned its 1962456632 by the Centers for Medicare & Medicaid Services on 2006-05-19.

As of what date was the information pertaining to Scott Freeman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Scott Freeman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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