Boise Orthodontics P.A. in Boise - Orthodontics And Dentofacial Orthopedics
Boise Orthodontics P.A. - NPI 1770754186
Boise Orthodontics P.A. is a Orthodontics And Dentofacial Orthopedics in Boise, Idaho. Boise Orthodontics P.A. practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Boise Orthodontics P.A. is 1770754186. The last update date is 2008-03-13.
Boise Orthodontics P.A.'s current location address is 4725 N Cloverdale Rd, Boise, Idaho. You can contact this provider via phone number 2083234458. The mailing address for Boise Orthodontics P.A. is 4725 N Cloverdale Rd, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Boise Orthodontics P.A. |
|---|---|
| Address | 4725 N Cloverdale Rd, Boise, Idaho |
| Phone Number | 2083234458 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Smith Allen Glen |
| Credentials | DDS MS |
| Telephone Number | 2083234458 |
NPI Number Detail
| NPI Number | 1770754186 |
|---|---|
| Provider Enumeration Date | 2008-03-13 |
| Last Updated Date | 2008-03-13 |
Provider Mailing Address Detail
| Address | 4725 N Cloverdale Rd |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837134911 |
| Phone Number | 2083234458 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | D-3036-OR |
|
Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6L271 | ID | BLUE CROSS ID | |
| 734506 | ID | UNITED CONCORDIA |
Post Comment/ Review Below
What is the unique identification code assigned to Boise Orthodontics P.A. by the Centers for Medicare & Medicaid Services?
The Boise Orthodontics P.A. has been issued the NPI (National Provider Identifier) 1770754186. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Boise Orthodontics P.A. is physically located?
The Boise Orthodontics P.A. is situated at the following address: 4725 N Cloverdale Rd, Boise, ID 837134911.
What is Boise Orthodontics P.A.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Boise Orthodontics P.A. is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy classification code for this specialized field is 1223X0400X.
On what date did Boise Orthodontics P.A. receive its 1770754186 assignment from the Centers for Medicare & Medicaid Services?
The Boise Orthodontics P.A. was assigned its 1770754186 on 2008-03-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Boise Orthodontics P.A. most recently updated or refreshed?
The details pertaining to the Boise Orthodontics P.A., including its address, specialty, and other relevant information, were last updated or refreshed on 2008-03-13.