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Contact Information

GREGARY R BOEHME, DMD
2152 VILLAGE PARK AVE
TWIN FALLS, ID83301-4172
 Phone: 208-735-5599
 Fax: 208-735-5597
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for GREGARY R BOEHME · (Male)

NPI Number 1659755130
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 07/15/2015
Last updated 02/08/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # D-4687
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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