ROBERT O STEVENS DMD, PA
NPI 1336220144
Clinic/Center - Dental in Boise, ID

Active since October 18, 2006
10572 W BUSINESS PARK LN, BOISE, ID 83709(208) 375-5656(208) 375-5928 Get Directions Write a Review

NPPES record last updated: May 13, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Robert O Stevens Dmd, Pa NPPES

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

ROBERT O STEVENS DMD, PA (NPI 1336220144), doing business as Bethel Dental Group, is a healthcare organization registered as a dental in Boise, Idaho and active in the NPI registry since October 2006. The organization lists Robert Orlo Stevens, Dentist Owner, as its authorized official.

NPPES Registry Identity

NPI1336220144
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameROBERT O STEVENS DMD, PA
Location Address10572 W BUSINESS PARK LNBoise, ID 83709-6797
Mailing Address10572 W Business Park LnBoise, ID 83709-6797 · (208) 375-5656 · Fax (208) 375-5928
Fax(208) 375-5928
Organization SubpartNo
Authorized OfficialRobert Orlo StevensDentist Owner · (208) 375-5656
Enumeration DateOctober 18, 2006
Last NPPES UpdateMay 13, 2013
NPI 1336220144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in ID · D1807
10572 W BUSINESS PARK LN, Boise, ID 83709

Other Names 1

Former Legal Business NameBethel Dental Group

Other Identifiers 2

Other43162ID · Regence Blue Shield
Other64709ID · Blue Cross

Other Providers at the Same Location NPPES 2

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

Dentist
10572 W BUSINESS PARK LN
BOISE, ID 83709
Clinic/Center (Dental)
10572 W BUSINESS PARK LN
BOISE, ID 83709

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 Robert O Stevens Dmd, PA's NPI number?

The NPI number for Robert O Stevens Dmd, PA is 1336220144. It was assigned to this organization in the NPPES registry on October 18, 2006. The provider was formerly known as Bethel Dental Group.

Where is Robert O Stevens Dmd, PA located?

Robert O Stevens Dmd, PA is located at 10572 W Business Park Ln, Boise, ID 83709. The listed phone number is (208) 375-5656.

What is Robert O Stevens Dmd, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Robert O Stevens Dmd, PA was last updated on May 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.