Robert O Stevens Dmd, Pa in Boise - Dental
Robert O Stevens Dmd, Pa - NPI 1336220144
Robert O Stevens Dmd, Pa is a Dental in Boise, Idaho. Robert O Stevens Dmd, Pa practices all healthcare services and medical treatments related to Dental. The NPI Number for Robert O Stevens Dmd, Pa is 1336220144. The last update date is 2013-05-13.
Robert O Stevens Dmd, Pa's current location address is 10572 W Business Park Ln, Boise, Idaho. You can contact this provider via phone number 2083755656 and fax number 2083755928. The mailing address for Robert O Stevens Dmd, Pa is 10572 W Business Park Ln, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Robert O Stevens Dmd, Pa |
|---|---|
| Address | 10572 W Business Park Ln, Boise, Idaho |
| Phone Number | 2083755656 |
| Fax Number | 2083755928 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST OW |
|---|---|
| Authorized Official Name | Stevens Orlo Robert |
| Telephone Number | 2083755656 |
NPI Number Detail
| NPI Number | 1336220144 |
|---|---|
| Provider Enumeration Date | 2006-10-18 |
| Last Updated Date | 2013-05-13 |
Provider Mailing Address Detail
| Address | 10572 W Business Park Ln |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837096797 |
| Phone Number | 2083755656 |
| Fax Number | 2083755928 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | D1807 |
|
Definition: Provides general and specialized dental care and oral surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 43162 | ID | REGENCE BLUE SHIELD | |
| 64709 | ID | BLUE CROSS |
Post Comment/ Review Below
What is the unique identifier code issued to Robert O Stevens Dmd, Pa by the Centers for Medicare & Medicaid Services?
The Robert O Stevens Dmd, Pa has been assigned the NPI (National Provider Identifier) 1336220144. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Robert O Stevens Dmd, Pa is physically located?
The Robert O Stevens Dmd, Pa is physically situated at the following address: 10572 W Business Park Ln, Boise, ID, 837096797.
What is Robert O Stevens Dmd, Pa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Robert O Stevens Dmd, Pa is Dental, and the taxonomy code that categorizes this field of expertise is 261Qd0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1336220144 to Robert O Stevens Dmd, Pa?
The Robert O Stevens Dmd, Pa received its 1336220144 assignment from the Centers for Medicare & Medicaid Services on 2006-10-18.
As of what date was the information pertaining to Robert O Stevens Dmd, Pa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Robert O Stevens Dmd, Pa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-05-13.
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