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Contact Information

JUSTIN S MADSEN, DDS
2301 N 26TH ST STE 102
BOISE, ID83702
 Phone: 208-336-8801
 Fax: 208-336-8682
 Website:
Indicates primary specialty

NPI Profile & details for JUSTIN S MADSEN · (Male)

NPI # 1417290479
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 03/28/2013
Last updated 10/06/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # D-4572
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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