NPI age
19 years
Enumerated 2007-01-17
Across 1099 active dentist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 | 04083 | BLUESHIELD OF ID |
| 01 (ID) | 82029 | DELTA DENTAL OF IDAHO |
| 01 | 977709 | BSPA UNITED CONCORDIA |
| 01 | 6B471 | BLUECROSS OF ID |
Solo or small practice. No other active providers share this practice address in NPPES.
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