DANIEL JOHN STACKOWICZ DDS
NPI 1740605104
Dentist - General Practice in Boise, ID

Active since February 21, 2014
1410 S ENTERTAINMENT AVE, BOISE, ID 83709(208) 321-4937(208) 321-4834 Get Directions Write a Review

NPPES record last updated: December 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Daniel John Stackowicz Dds NPPES

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

DANIEL JOHN STACKOWICZ DDS (NPI 1740605104) is an individual general practice provider in Boise, Idaho, licensed in Idaho (D5162) and active in the NPI registry since February 2014. He maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1740605104
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDANIEL JOHN STACKOWICZCredential: DDS
Location Address1410 S ENTERTAINMENT AVEBoise, ID 83709-8306
Mailing Address1410 S Entertainment AveBoise, ID 83709-8306 · (208) 321-4937 · Fax (208) 321-4834
Fax(208) 321-4834
Sole ProprietorNo
Enumeration DateFebruary 21, 2014
Last NPPES UpdateDecember 11, 2020
NPPES CertifiedDecember 11, 2020
NPI 1740605104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in ID · D5162
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1410 S ENTERTAINMENT AVE, Boise, ID 83709

Secondary Practice Location 1

Location 17500 Cambridge St, Suite 6510Houston, TX 77054-2032 · Phone (713) 586-4052 · Fax (713) 486-4333

Other Providers at the Same Location NPPES 3

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

Dentist (General Practice)
1410 S ENTERTAINMENT AVE
BOISE, ID 83709
Dentist
1410 S ENTERTAINMENT AVE
BOISE, ID 83709
Dentist (General Practice)
1410 S ENTERTAINMENT AVE
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 Daniel Stackowicz's NPI number?

The NPI number for Daniel Stackowicz is 1740605104. It was assigned to this individual provider in the NPPES registry on February 21, 2014.

Where is Daniel Stackowicz located?

Daniel Stackowicz practices at 1410 S Entertainment Ave, Boise, ID 83709. The listed phone number is (208) 321-4937.

What is Daniel Stackowicz's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Daniel Stackowicz was last updated on December 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.