NORTHWEST DENTAL GROUP NPI 1407483027

NPI Information

NORTHWEST DENTAL GROUP 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. NORTHWEST DENTAL GROUP NPI is 1407483027. The provider is registered as an organization entity type.

The provider's business location address is:

8300 W NORTHVIEW ST
BOISE, ID
ZIP 83704-132
Phone: (208) 377-8078
Fax: (208) 377-3689

The provider's authorized official is Don R Cook .
The authorized official title is Owner and has the following contact phone number (208) 377-8078.

The enumeration date for this NPI number is 3/24/2020 and was last updated on 10/24/2022.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.