Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KIMBALL GRAY MACK, DMD
Active Sole ProprietorDR. KIMBALL GRAY MACK, DMD is a General Dentistry healthcare provider located in BOISE, Idaho. NPI 1659809200 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · BOISE, ID
Registration Details
- NPI Number
- 1659809200
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 26, 2017 (9.2059293555478 yrs)
- Last Updated
- Aug 28, 2025
- License
-
D5587 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4255 N EAGLE RD STE 102BOISE, ID, 837130701Browse ID providers · Browse ZIP 83713
- Phone
- 2083446300
- Fax
- 0829389906
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. HELEN HALLQUIST HARLESS | D.D.S. | 1699751560 |
| BRANDON L TAYLOR | DMD | 1760451306 |
| DR. FRANK ALAN WALKER JR. | DMD | 1154380277 |
| DR. ROBERT T PECK | DMD | 1003874140 |
| DR. DAVID MICHAEL MUNRO | DDS | 1497703771 |
| DAVID WILLIAM CUTLER | DDS | 1417996596 |
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.