| Jarvis Dental | |
|
9460 Franklin Rd Boise ID 83709 | |
| (208) 322-8200 | |
| (208) 322-7561 |
| Full Name | Jarvis Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9460 Franklin Rd, Boise, Idaho |
| Authorized Official Name and Position | Reed K Jarvis (OWNER) |
| Authorized Official Contact | 2083228200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jarvis Dental 9460 W Franklin Rd Boise ID 83709-0500 Ph: (208) 322-8200 | Jarvis Dental 9460 Franklin Rd Boise ID 83709 Ph: (208) 322-8200 |
| NPI Number | 1215039318 |
|---|---|
| Provider Enumeration Date | 09/01/2006 |
| Last Update Date | 06/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215039318 | NPI | - | NPPES |
| 002420900 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D1526 (Idaho) | Primary |
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