institution
Robert O Stevens Dmd, Pa
Dental Clinic/Center in Boise, Idaho
NPI 1336220144

Robert O Stevens Dmd, Pa is a Dental Clinic/Center based in Boise, ID and is specialized in Dental. Robert O Stevens Dmd, Pa practices in Boise, ID. The NPI Number for Robert O Stevens Dmd, Pa is 1336220144 and holds a License No. D1807 (Idaho).

The current practice location address for Robert O Stevens Dmd, Pa is 10572 W Business Park Ln, Boise, ID and can be reached out via phone at 208-375-5656 and via fax at 208-375-5928.

Location: 10572 W Business Park Ln, Boise, ID, 83709-6797
institution
Provider Profile Details
NPI Number
1336220144
Provider Name
Robert O Stevens Dmd, Pa
Credential
Provider Entity Type
Organization
Address
10572 W Business Park Ln, Boise, ID, 83709-6797
Phone Number
208-375-5656
Fax Number
208-375-5928
Provider Enumeration Date
10/18/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
43162 01 ID REGENCE BLUE SHIELD
64709 01 ID BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
10572 W Business Park Ln
City
State
Zip
83709-6797
Phone Number
208-375-5656
Fax Number
208-375-5928
person
Provider Business Mailing Address Details
Address
10572 W Business Park Ln
City
State
Zip
83709-6797
Phone Number
208-375-5656
Fax Number
208-375-5928
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
D1807 (Idaho)
Definition
Definition to come...
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