Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRADEN M STAUTS, DDS
Active Sole ProprietorDR. BRADEN M STAUTS, DDS is a Pediatric Dentistry healthcare provider located in BOISE, Idaho. NPI 1578588364 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · BOISE, ID
Registration Details
- NPI Number
- 1578588364
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 13, 2006 (20.099516675357 yrs)
- Last Updated
- Jul 8, 2007
- License
-
D-2083-PR (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1000 N CURTIS RDSUITE 203BOISE, ID, 837061337Browse ID providers · Browse ZIP 83706
- Phone
- 2083760567
- Fax
- 2083760661
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
Other Pediatric Dentistry Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. LINDA JEAN RUPPEL | DDS | 1043221393 |
| DARREL L MOONEY | D.D.S. , F.A.C.P. | 1144232869 |
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.