Randy Demetter, DDS - Boise, ID

Randy Demetter, DDS

Periodontist in Boise, Idaho

NPI 1275941288

Randy Demetter is a Periodontist based in Boise, ID and is specialized in Periodontics. Randy Demetter practices in Boise, ID and has the professional credentials of DDS. The NPI Number for Randy Demetter is 1275941288 and holds a License No. ETN283 (Idaho).

The current practice location address for Randy Demetter is 140 E Boise Ave, Boise, ID and can be reached out via phone at 208-385-9228.

Location: 140 E Boise Ave, Boise, ID, 83706-4302

NPI Number

1275941288

Provider Name

Randy Demetter

Credential

DDS

Provider Entity Type

Individual

Gender

Male

Address

140 E Boise Ave, Boise, ID, 83706-4302

Phone Number

208-385-9228

Fax Number

Provider Enumeration Date

07/23/2014

Last Update Date

03/09/2024

Address

140 E Boise Ave

City

Boise

State

Idaho

Zip

83706-4302

Phone Number

208-385-9228

Fax Number

Address

140 E Boise Ave

City

Boise

State

Idaho

Zip

83706-4302

Phone Number

208-385-9228

Fax Number

Type

Dental Providers

Classification

Dentist

Speciality

Periodontics

Taxonomy

1223P0300X

License No.

ETN283 (Texas)

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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