ALLANTE PLASTIC SURGERY NPI 1568693786

NPI Information

  • NPI: 1568693786
  • Provider Name: ALLANTE PLASTIC SURGERY
  • Classification: Ophthalmology - 207WX0200X
  • Specialization: Ophthalmic Plastic and Reconstructive Surgery
  • Entity Type: Organization
  • Address: 909 S ALLANTE PL
    BOISE, ID
    ZIP 83709
  • Phone: (208) 377-5433

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NPI Details

ALLANTE PLASTIC SURGERY is an ophthalmic plastic and reconstructive surgery ophthalmology in Boise, ID. The provider is a physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. ALLANTE PLASTIC SURGERY NPI is 1568693786. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

909 S ALLANTE PL
BOISE, ID
ZIP 83709-612
Phone: (208) 377-5433

The provider's authorized official is Justin Rodney Johnsen .
The authorized official title is Owner and has the following contact phone number (208) 377-5433.

The enumeration date for this NPI number is 8/5/2009 and was last updated on 9/3/2019.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmologyNo
2207WX0200XOphthalmologyOphthalmic Plastic and Reconstructive SurgeryYes

What is NPI?

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This page was last updated on: 11/21/2025

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