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

IDAHO STATE UNIVERSITY

Active Organization

IDAHO STATE UNIVERSITY is a Dentist organization located in BOISE, Idaho. NPI 1912110164 is currently active in the NPPES registry. Verify at CMS.

Dentist · BOISE, ID

Registration Details

NPI Number
1912110164
Provider Type
Organization
NPI Issued
May 7, 2007 (19.269900180512 yrs)
Last Updated
Jun 24, 2008
License
D-1819 (ID)

Practice Information

Address
2033 E SUMMERSWEET DR
BOISE, ID, 837166695
Browse ID providers · Browse ZIP 83716
Phone
2083310182
Fax
2083310184
Primary Specialty
Dentist
122300000X

Other Dentist Organizations in BOISE, ID

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.