NICHOLAS RYAN GENSBURGER LD
NPI 1669179495
Denturist in Caldwell, ID
- Individual
- Male
- Denturist
About NICHOLAS GENSBURGER
This page provides the complete NPI Profile along with additional information for Nicholas Gensburger, a provider established in Caldwell, Idaho with a medical specialization in Denturist. The healthcare provider is registered in the NPI registry with number 1669179495 assigned on February 2023. The practitioner's primary taxonomy code is 122400000X with license number LD-136 (ID). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1669179495 Verify this NPI
- Provider Name
- NICHOLAS RYAN GENSBURGER LD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2124 BLAINE ST CALDWELL, ID 83605
- Location Phone
- (208) 454-0311
- Mailing Address
- 2124 BLAINE ST CALDWELL, ID 83605
- Mailing Phone
- (208) 454-0311
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-13-2023
- Last Update Date
- 02-13-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Denturist
- Taxonomy Code
- 122400000X
- Type
- Dental Providers
- License No.
- LD-136
- License State
- ID
- Taxonomy Description
- A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.
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Other Providers at the Same Location
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669179495, enumerated as an "individual" on February 13, 2023.
The provider is located at 2124 BLAINE ST CALDWELL, ID 83605 and the phone number is (208) 454-0311.
Denturist with taxonomy code 122400000X.
