BOISE ORAL AND MAXILLOFACIAL SURGERY (NPI# 1699949750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699949750 |
| Entity Type | Organization |
| Organization Name | BOISE ORAL AND MAXILLOFACIAL SURGERY |
| Practice Address |
6363 W Emerald St Suite 103 Boise ID 83704-8783 |
| Practice Telephone | 2083764550 |
| Practice Fax Number | 2083764552 |
| Mailing Telephone | 2083764550 |
| Mailing Fax Number | 2083764552 |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2008-04-18 |
| Authorized Official Name | DR. KEVIN KEMPERS (OWNER) |
| Authorized Official Telephone | 2083764550 |
| Authorized Official Credential | DDS/MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
D-3407 | ID | Dental Providers |
| Street Address |
6363 W EMERALD ST SUITE 103 |
| City | BOISE |
| State | ID |
| Zip Code | 83704-8783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790892610 | Bruce Morrison | Dentist | 6363 W Emerald St, Suite 103, Boise, ID 83704-8783 | 2006-08-24 |
| 1619133923 | Scott Freeman, D.m.d., P.a. | Clinic/Center | 6363 W Emerald St, #101, Boise, ID 83704-8783 | 2008-08-06 |
| 1265540835 | Bruce E Newcomb | Dentist | 6363 W Emerald St, #102, Boise, ID 83704-8783 | 2006-08-25 |
| 1427166024 | Wayne R. Ellis | Dentist | 6363 W Emerald St, Building 102, Boise, ID 83704-8783 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124433743 | Arman Haghighi | Dentist | 403 S 11th St Ste 300, Boise, ID 83702-6968 | 2014-06-23 |
| 1013274661 | Treasure Valley Oral and Facial Surgery Pllc | Dentist | 1000 N. Curtis Rd, Suite 103, Boise, ID 83706 | 2012-04-20 |
| 1790892610 | Bruce Morrison | Dentist | 6363 W Emerald St, Suite 103, Boise, ID 83704-8783 | 2006-08-24 |
| 1457378382 | Dean C. Younce, Dmd, Pa | Dentist | 5266 N Eagle Rd, Boise, ID 83713-0945 | 2006-07-16 |
| 1891727582 | Michael R Bailey | Dentist | 403 South 11th Street, Suite 300, Boise, ID 83702-6906 | 2006-07-06 |
| 1982650404 | Victor D Cook | Dentist | 7910 Ustick Rd, Boise, ID 83704-5850 | 2006-05-26 |
| 1104248053 | Whitewater Oral Surgery Group Pllc | Dentist | 3003 W Main St Ste 130, Boise, ID 83702-2026 | 2014-01-13 |
| 1043657364 | Jake Allen Peterson | Dentist | 3003 W Main St Ste 130, Boise, ID 83702-2026 | 2013-05-28 |
| 1053584284 | Michael R Bailey Md Dds Pa | Dentist | 403 S 11th St, Suite 300, Boise, ID 83702-6968 | 2008-04-09 |
| 1811169733 | Dean Younce | Dentist | 5266 N Eagle Rd, Boise, ID 83713-0945 | 2008-04-01 |
| Find all providers in BOISE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.