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BOISE CENTER FOR COSMETIC DENTISTRY NPI 1922161272


NPI Information

NPI: 1922161272
Provider Name: BOISE CENTER FOR COSMETIC DENTISTRY

Former Legal Business Name: CYNTHIA A MCKIM DMD

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
5360 N EAGLE ROAD SUITE 101
BOISE, ID
ZIP 83713
Phone: (208) 939-7620
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BOISE CENTER FOR COSMETIC DENTISTRY 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. BOISE CENTER FOR COSMETIC DENTISTRY NPI is 1922161272. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Cynthia A Mckim Dmd.

The provider's business location address is:

5360 N EAGLE ROAD SUITE 101
BOISE, ID
ZIP 83713
Phone: (208) 939-7620
Fax: (208) 939-7640

The provider's authorized official is Cynthia A Mckim .
The authorized official title is Practice Owner and has the following contact phone number (208) 939-7620.

The enumeration date for this NPI number is 12/18/2006 and was last updated on 8/22/2020.


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 Practice3229IDAHOYes

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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