National Provider Identifier Database

KRISTIN L FENWICK, DDS – NPI #1083745681
General Practice

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.


Contact Information

KRISTIN L FENWICK, DDS
6657 N GLENWOOD ST
WATER'S EDGE DENTAL
BOISE, ID83714
Phone: 208-375-0572
Fax: 208-375-1658
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for KRISTIN L FENWICK

NPI Number 1083745681
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 03/08/2007
Last updated 11/16/2015 - About 11 years ago
Sole proprietor1 Yes
Identifiers
  • ID License #: D3159
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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