person
Loren Ross Hartley, DMD
General Practice Dentistry in Nampa, Idaho
NPI 1528158862

Loren Ross Hartley is a General Practice Dentistry based in Nampa, ID and is specialized in General Practice. Loren Ross Hartley practices in Nampa, ID and has the professional credentials of DMD. The NPI Number for Loren Ross Hartley is 1528158862 and holds a License No. D3288 (Idaho).

The current practice location address for Loren Ross Hartley is 1705 12Th Ave Rd, Nampa, ID and can be reached out via phone at 208-466-6600 and via fax at 208-466-6421. You can also correspond with Loren Ross Hartley through the mailing address at 1705 12TH AVE RD, NAMPA, ID - 83686 (mailing address contact number: 208-466-6600).

Location: 1705 12Th Ave Rd, Nampa, ID, 83686
person
Provider Profile Details
NPI Number
1528158862
Provider Name
Loren Ross Hartley
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1705 12Th Ave Rd, Nampa, ID, 83686
Phone Number
208-466-6600
Fax Number
208-466-6421
Provider Enumeration Date
10/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D8677 01 OR BOARD OF DENTISTRY
institution
Provider Business Practice Location Address Details
Address
1705 12Th Ave Rd
City
State
Zip
83686
Phone Number
208-466-6600
Fax Number
208-466-6421
person
Provider Business Mailing Address Details
Address
1705 12Th Ave Rd
City
State
Zip
83686
Phone Number
208-466-6600
Fax Number
208-466-6421
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
D3288 (Idaho)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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