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

DR. KIRK D DAVIDSON, DMD

Active Sole Proprietor

DR. KIRK D DAVIDSON, DMD is a General Dentistry healthcare provider located in PONDERAY, Idaho. NPI 1538347513 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · PONDERAY, ID

Registration Details

NPI Number
1538347513
Provider Type
Individual
Gender
Male
NPI Issued
Feb 1, 2008 (18.507858147521 yrs)
Last Updated
Feb 1, 2008
License
D-3694 (ID)
Sole Proprietor
Yes

Practice Information

Address
476653 HIGHWAY 95
SUITE 1
PONDERAY, ID, 838529816
Browse ID providers · Browse ZIP 83852
Phone
2082656771
Primary Specialty
General Dentistry
1223G0001X
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.