| True View Dental Radiology | |
|
9973 W Lillywood Dr Boise ID 83709 | |
| (208) 495-4331 | |
| Not Available |
| Full Name | True View Dental Radiology |
|---|---|
| Speciality | Dentist |
| Location | 9973 W Lillywood Dr, Boise, Idaho |
| Authorized Official Name and Position | Ryan Holmes (CO-FOUNDER) |
| Authorized Official Contact | 2084954331 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| True View Dental Radiology 10400 W Overland Rd # 314 Boise ID 83709-1433 Ph: (208) 495-4331 | True View Dental Radiology 9973 W Lillywood Dr Boise ID 83709 Ph: (208) 495-4331 |
| NPI Number | 1437738010 |
|---|---|
| Provider Enumeration Date | 04/02/2021 |
| Last Update Date | 10/30/2023 |
| Medicare PECOS PAC ID | 2567866254 |
|---|---|
| Medicare Enrollment ID | O20210803000638 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437738010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0008X | Dentist - Oral And Maxillofacial Radiology | (* (Not Available)) | Primary |
| Provider Name | Ryan Holmes |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1952651069 PECOS PAC ID: 9638573363 Enrollment ID: I20210811003654 |
| Provider Name | James Rock |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1831774611 PECOS PAC ID: 0547664278 Enrollment ID: I20210811004295 |
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