P Praxis·MD
● Active Type 2 · Organization

Robert O Stevens Dmd, PA

Clinic/Center·Boise, ID· NPI 1336220144 · Enumerated 2006 · 19 years on NPI
Robert O Stevens Dmd, PA is 1 of 202 clinic/center organizations in Idaho.
NPI age
19 years
Enumerated 2006-10-18
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Stevens
Dentist Owner
Last NPPES update
2013-05-13
Source: monthly bulk 2026-05

How this organization compares

Across 202 active clinic/center providers in Idaho.

NPI age
19 years
↑ 11 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-10Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
10572 W Business Park Ln
Boise, ID 837096797
📞 2083755656fax 2083755928
Mailing address
10572 W Business Park Ln
Boise, ID 837096797
📞 2083755656fax 2083755928

Authorized official

Robert Orlo Stevens
Dentist Owner
📞 2083755656

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    ID license #D1807 taxonomy 261QD0000X

Identifiers

TypeValueNotes
01 (ID) 43162 REGENCE BLUE SHIELD
01 (ID) 64709 BLUE CROSS

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Bethel Dental Group
    Type code 4 recorded 2012-03-06

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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