NPI age
19 years
Enumerated 2007-01-30
Across 64 active dentist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010157302 | BLUE SHIELD OF IDAHO |
| 05 (ID) | 807501100 | |
| 01 (ID) | 6P081 | BLUE CROSS MEDICAL |
| 01 (ID) | 6P082 | BLUE CROSS DENTAL |
| 05 (ID) | 807513800 |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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