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

DR. REBEKAH LEE GOFORTH, DDS, MS

Active Sole Proprietor

DR. REBEKAH LEE GOFORTH, DDS, MS is a Orthodontics healthcare provider located in BOISE, Idaho. NPI 1609458983 is currently active in the NPPES registry. Verify at CMS.

Orthodontics · BOISE, ID

Registration Details

NPI Number
1609458983
Provider Type
Individual
Gender
Female
NPI Issued
Apr 26, 2021 (5.2591861446958 yrs)
Last Updated
Apr 2, 2024
Licenses
16388 (MD)
D-5261-OR (ID)
5261 (ID)
Sole Proprietor
Yes

Practice Information

Address
620 W HAYS ST
BOISE, ID, 837025511
Browse ID providers · Browse ZIP 83702
Phone
2082976167
Primary Specialty
Orthodontics
1223X0400X
Additional Specialty
Orthodontics
Additional Specialty
Orthodontics

Other Orthodontics Providers in BOISE, ID

Name Credential NPI
JOHN T KALANGE D.D.S., M.S. 1124014154
DR. GLEN ALLEN SMITH DDS MS 1154338812
DR. SAMUEL G. SMITH D.M.D.,M.S. 1013920313
JOHN C MATUNAS DDS 1205943669
TERRELL F TINGEY DDS MSD 1043322548
DR. JAMES KELLY POULSEN DDS MS 1265535298
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.