James Kelly Poulsen in Boise - Orthodontics And Dentofacial Orthopedics
James Kelly Poulsen - NPI 1265535298
James Kelly Poulsen is a Orthodontics And Dentofacial Orthopedics in Boise, Idaho. James Kelly Poulsen practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for James Kelly Poulsen is 1265535298. The last update date is 2007-07-08.
James Kelly Poulsen's current location address is 1453 W Hays, Boise, Idaho. You can contact this provider via phone number 2083456287 and fax number 2083450661. The mailing address for James Kelly Poulsen is 1453 W Hays, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Kelly Poulsen |
|---|---|
| Address | 1453 W Hays, Boise, Idaho |
| Phone Number | 2083456287 |
| Fax Number | 2083450661 |
| Sole Proprietor | N |
| Credentials | DDS MS |
NPI Number Detail
| NPI Number | 1265535298 |
|---|---|
| Provider Enumeration Date | 2006-09-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1453 W Hays |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 83702 |
| Phone Number | 2083456287 |
| Fax Number | 2083450661 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | D-2070-OR |
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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 |
|---|---|---|---|
| 60913 | BLUE CROSS BLUE SHIELD | ||
| 440946 | UNITED CONCORDIA |
Post Comment/ Review Below
What is the James Kelly Poulsen's unique identification number?
The James Kelly Poulsen has been assigned the NPI (National Provider Identifier) Number 1265535298 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where James Kelly Poulsen's facilities are situated?
The facilities of James Kelly Poulsen are physically located at the following address: 1453 W Hays, Boise, ID, 83702.
What is James Kelly Poulsen's specialized field of practice, and what is the corresponding taxonomy classification code?
The James Kelly Poulsen's area of specialization is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this field of practice is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1265535298 to James Kelly Poulsen?
The Centers for Medicare & Medicaid Services assigned the 1265535298 to James Kelly Poulsen on 2006-09-06.
When was the information regarding James Kelly Poulsen, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to James Kelly Poulsen, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.