National Provider Identifier Database

GARY M ALTENBURG, DDS – NPI #1356558852
Endodontics

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.


Contact Information

GARY M ALTENBURG, DDS
450 W STATE ST STE 115
EAGLE, ID83616-7055
Phone: 208-286-4200
Fax: 208-286-4201
Website:
Specialty Taxonomy Code
* Endodontics 1223E0200X

* Indicates primary specialty

NPI Profile & details for GARY M ALTENBURG

NPI Number 1356558852
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 05/16/2007
Last updated 07/07/2022 - About 4 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: 46454
  • ID License #: D-5078-EN
Hospital affiliation n/a

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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