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

DR. BRIAN JEFFERY KOVANDA, DMD

Deactivated Sole Proprietor

DR. BRIAN JEFFERY KOVANDA, DMD is a Dentist healthcare provider located in MERIDIAN, Idaho. NPI 1437141082 is deactivated in the NPPES registry. Verify at CMS.

Dentist · MERIDIAN, ID

This NPI has been deactivated. The record was deactivated on March 25, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1437141082
Provider Type
Individual
Gender
Male
NPI Issued
Aug 19, 2005 (0.5972602739726 yrs)
Last Updated
Dec 11, 2023
Deactivated
Mar 25, 2006
License
D5109 (ID)
Sole Proprietor
Yes

Practice Information

Address
3200 N LESLIE WAY STE 110
MERIDIAN, ID, 836465362
Browse ID providers · Browse ZIP 83646
Phone
2083220024
Fax
2083755721
Primary Specialty
Dentist
122300000X

Other Dentist Providers in MERIDIAN, ID

Name Credential NPI
DANIEL B HOWARD DDS 1265430789
JACK D KLURE DDS 1740280353
JOHN ANDREW BERGLOFF D.D.S. 1326087180
DR. JOHN DRIGGS MCMURRAY DDS 1245268598
DR. THOMAS U COX DDS 1386656098
SCOTT WILLIAM GRANT DMD 1194898767
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.