NPI 1023746294

Emerald Smiles Dentistry, PC

Organisation Dentist Boise, ID

Practice location

Address: 675 N Milwaukee St STE 110, Boise, ID 83704-9185
Phone: (208) 593-3221
Mailing address: PO Box 920050, Dallas, TX 75392-0050

Authorised official

Name: Kenneth C Benson
Title: Owner
Phone: (208) 593-3221

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X

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Registry record

NPI: 1023746294
Entity type: Organization
NPI issued: 15 Aug 2022
Record last updated: 15 Aug 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.