person
Dr. Kimball Gray Mack, DMD
General Practice Dentistry in Boise, Idaho
NPI 1659809200

Kimball Gray Mack is a General Practice Dentistry based in Boise, ID and is specialized in General Practice. Kimball Gray Mack practices in Boise, ID and has the professional credentials of DMD. The NPI Number for Kimball Gray Mack is 1659809200 and holds a License No. D3935 (Idaho).

The current practice location address for Kimball Gray Mack is 4255 N Eagle Rd Ste 102, Boise, ID and can be reached out via phone at 208-344-6300 and via fax at 082-938-9906.

Location: 4255 N Eagle Rd Ste 102, Boise, ID, 83713-0701
person
Provider Profile Details
NPI Number
1659809200
Provider Name
Kimball Gray Mack
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
4255 N Eagle Rd Ste 102, Boise, ID, 83713-0701
Phone Number
208-344-6300
Fax Number
082-938-9906
Provider Enumeration Date
05/26/2017
Last Update Date
09/14/2024
institution
Provider Business Practice Location Address Details
Address
4255 N Eagle Rd Ste 102
City
State
Zip
83713-0701
Phone Number
208-344-6300
Fax Number
082-938-9906
person
Provider Business Mailing Address Details
Address
4255 N Eagle Rd Ste 102
City
State
Zip
83713-0701
Phone Number
208-344-6300
Fax Number
082-938-9906
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
D3935 (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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