Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RANDY DEMETTER, DDS
Active Sole ProprietorRANDY DEMETTER, DDS is a Periodontology healthcare provider located in BOISE, Idaho. NPI 1275941288 is currently active in the NPPES registry. Verify at CMS.
Periodontology · BOISE, ID
Registration Details
- NPI Number
- 1275941288
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 23, 2014 (12.085621342646 yrs)
- Last Updated
- Apr 5, 2023
- Licenses
-
ETN283 (TX)D-4831-PE (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
140 E BOISE AVEBOISE, ID, 837064302Browse ID providers · Browse ZIP 83706
- Phone
- 2083859228
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
Other Periodontology Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. JACK H LINCKS | DDS, MS | 1346224458 |
| DR. JOHN HOWELL MUMFORD | D.M.D. | 1639149057 |
| MICHAEL JOHN FLORENCE | DMD | 1235147281 |
| DR. BRADLEY LYNN TOWNSEND | DDS | 1700994852 |
| KENNETH G. SHERMAN II | DDS | 1245310036 |
| RICHARD E FERGUSON | D.D.S., M.S. | 1710050943 |
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.