IDAHO ENDODONTICS - NPI 1710509823 - Dentist in Boise, ID

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223E0200X and a focus in Endodontics.

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About Idaho Endodontics NPPES

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

IDAHO ENDODONTICS (NPI 1710509823) is a healthcare organization registered as an endodontics in Boise, Idaho and active in the NPI registry since May 2020. The organization lists Amanda Maylin, Front Office, as its authorized official.

NPPES Registry Identity

NPI1710509823

Entity TypeOrganization

Primary Taxonomy1223E0200X

Legal Business NameIDAHO ENDODONTICS

Location Address1555 S TIMESQUARE LNBoise, ID 83709-8266

Mailing Address1555 S Timesquare LnBoise, ID 83709-8266 · (208) 672-8860

Phone(208) 672-8860

Organization SubpartNo

Authorized OfficialAmanda MaylinFront Office · (208) 672-8860

Enumeration DateMay 12, 2020

NPPES CertifiedMay 12, 2020

✔ NPI 1710509823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers

Taxonomy Code1223E0200X

Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

1555 S TIMESQUARE LN, Boise, ID 83709

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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