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MICHAEL R BAILEY MD DDS PA
NPI 1053584284
Dentist - Oral and Maxillofacial Surgery in Boise, ID

Active since April 09, 2008
403 S 11TH ST, SUITE 300, BOISE, ID 83702(208) 344-9115(208) 344-9113 Get Directions Write a Review

NPPES record last updated: January 23, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michael R Bailey Md Dds Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL R BAILEY MD DDS PA (NPI 1053584284) is a healthcare organization registered as an oral and maxillofacial surgery in Boise, Idaho and active in the NPI registry since April 2008. The organization lists Michael R Bailey, Owner, as its authorized official.

NPPES Registry Identity

NPI1053584284
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameMICHAEL R BAILEY MD DDS PA
Location Address403 S 11TH ST, SUITE 300Boise, ID 83702-6968
Mailing Address403 S 11th St, Suite 300Boise, ID 83702-6968 · (208) 344-9115 · Fax (208) 344-9113
Phone(208) 344-9115
Fax(208) 344-9113
Organization SubpartNo
Authorized OfficialMichael R BaileyOwner · (208) 344-9115
Enumeration DateApril 9, 2008
Last NPPES UpdateJanuary 23, 2012
✔ NPI 1053584284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in ID · D3165/M6325
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

403 S 11TH ST, Boise, ID 83702
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN1375019ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHARON E OSTER MD
Internal Medicine (Infectious Disease)
403 S 11TH ST, #310
BOISE, ID 83702
Ada County (208) 344-3261
CASEY CHIROPRACTIC PA
Chiropractor
403 S 11TH ST, SUITE 110
BOISE, ID 83702
Ada County (208) 378-7700
COREY MATTHEWS D.C.
Chiropractor
403 S 11TH ST, SUITE #110
BOISE, ID 83702
Ada County (208) 343-6900
MR. TIMOTHY KLENA D.C.
Chiropractor
403 S 11TH ST, SUITE #110
BOISE, ID 83702
Ada County (208) 343-6900
PATRICK CASEY D.C.
Chiropractor
403 S 11TH ST, SUITE 110
BOISE, ID 83702
Ada County (208) 378-7700
MISS LORI ANN RISHEL FNP
Nurse Practitioner (Family)
403 S 11TH ST, SUITE 135
BOISE, ID 83702
Ada County (208) 367-0700
ST LUKE'S REGIONAL MEDICAL CENTER
Internal Medicine (Endocrinology, Diabetes & Metabolism)
403 S 11TH ST, STE 100
BOISE, ID 83702
Ada County (208) 429-0300
IDAHO SLEEP SPECIALISTS, PC
Internal Medicine (Sleep Medicine)
403 S 11TH ST, SUITE 210
BOISE, ID 83702
Ada County (208) 895-0411

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael R Bailey MD Dds PA's NPI number?

The NPI number for Michael R Bailey MD Dds PA is 1053584284. It was assigned to this organization in the NPPES registry on April 9, 2008.

Where is Michael R Bailey MD Dds PA located?

Michael R Bailey MD Dds PA is located at 403 S 11th St Suite 300, Boise, ID 83702. The listed phone number is (208) 344-9115.

What is Michael R Bailey MD Dds PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Michael R Bailey MD Dds PA was last updated on January 23, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.