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BRUCE D.M.D. AND RIRIE D.D.S. P.A. NPI 1336340785


NPI Information

NPI: 1336340785
Provider Name: BRUCE D.M.D. AND RIRIE D.D.S., P.A.

Doing Business As: BOISE INTEGRATIVE DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
7878 W USTICK RD
SUITE 101
BOISE, ID
ZIP 83704
Phone: (208) 376-2920
Get Directions

BRUCE D.M.D. AND RIRIE D.D.S., P.A. is a general practice dentist in Boise, ID. The provider is 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. BRUCE D.M.D. AND RIRIE D.D.S., P.A. NPI is 1336340785. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Boise Integrative Dentistry.

The provider's business location address is:

7878 W USTICK RD
SUITE 101
BOISE, ID
ZIP 83704-006
Phone: (208) 376-2920
Fax: (208) 376-8509

The provider's authorized official is June Alice Juhnke .
The authorized official title is Office Manager and has the following contact phone number (208) 336-0003.

The enumeration date for this NPI number is 5/31/2007 and was last updated on 9/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeD1626IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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