DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JONATHAN W BAUTER, DDS

Active Sole Proprietor

DR. JONATHAN W BAUTER, DDS is a Dentist healthcare provider located in BOISE, Idaho. NPI 1013067115 is currently active in the NPPES registry. Verify at CMS.

Dentist · BOISE, ID

Registration Details

NPI Number
1013067115
Provider Type
Individual
Gender
Male
NPI Issued
Jan 11, 2007 (19.548878240378 yrs)
Last Updated
Aug 15, 2019
Licenses
4714 (NV)
D-4357 (ID)
Sole Proprietor
Yes

Practice Information

Address
210 W MALLARD DR STE E
BOISE, ID, 837063992
Browse ID providers · Browse ZIP 83706
Phone
2083448363
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist

Other Dentist Providers in BOISE, ID

Name Credential NPI
DR. A RILEY CUTLER DDS 1457354466
THOMAS R CURTIS DDS 1831199447
BRIAN BIRD DMD 1316931819
DR. RIKI RYAN LAMBERT DDS 1164412706
DR. TIMOTHY A HANSEN DDS 1215911920
MR. TAYLOR COLEMAN CLARK DDS 1780635037
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.