| Art Dental | |
|
1212 N Cole Rd Boise ID 83704-8646 | |
| (208) 375-3755 | |
| (208) 323-7677 |
| Full Name | Art Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1212 N Cole Rd, Boise, Idaho |
| Authorized Official Name and Position | Nathaniel Royal Skousen (PRESIDENT) |
| Authorized Official Contact | 2083753755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Art Dental 1212 N Cole Rd Boise ID 83704-8646 Ph: (208) 375-3755 | Art Dental 1212 N Cole Rd Boise ID 83704-8646 Ph: (208) 375-3755 |
| NPI Number | 1710164793 |
|---|---|
| Provider Enumeration Date | 01/22/2008 |
| Last Update Date | 01/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710164793 | NPI | - | NPPES |
| 807579000 | Medicaid | ID | |
| 9201730 | Other | ID | IDAHO SMILES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D4019 (Idaho) | Primary |
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