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Dr. Rodman Owen Emory, DDS
Pediatric Dentist in Boise, Idaho
NPI 1427012046

Rodman Owen Emory is a Pediatric Dentist based in Boise, ID and is specialized in Pediatric Dentistry. Rodman Owen Emory practices in Boise, ID and has the professional credentials of DDS. The NPI Number for Rodman Owen Emory is 1427012046 and holds a License No. D1703 (Idaho).

The current practice location address for Rodman Owen Emory is 13014 W Persimmon Ln, Boise, ID and can be reached out via phone at 208-377-2072 and via fax at 208-376-7580.

Location: 13014 W Persimmon Ln, Boise, ID, 83713-1986
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Provider Profile Details
NPI Number
1427012046
Provider Name
Rodman Owen Emory
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
13014 W Persimmon Ln, Boise, ID, 83713-1986
Phone Number
208-377-2072
Fax Number
208-376-7580
Provider Enumeration Date
04/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
002697900 05 ID
institution
Provider Business Practice Location Address Details
Address
13014 W Persimmon Ln
City
State
Zip
83713-1986
Phone Number
208-377-2072
Fax Number
208-376-7580
person
Provider Business Mailing Address Details
Address
13014 W Persimmon Ln
City
State
Zip
83713-1986
Phone Number
208-377-2072
Fax Number
208-376-7580
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
D1703 (Idaho)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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