Daniel J. Stackowicz, DDS, P.C.

Organization Active NPI General Practice Dentistry · Nampa, ID

NPI 1699557181 · NPPES record last updated Oct 18, 2023

Key facts

NPI
1699557181
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
DANIEL J. STACKOWICZ, DDS, P.C.
Practice address
16377 N Marketplace Blvd
Nampa, ID 83687-7910
Phone
(208) 936-7338
NPI assigned
Oct 18, 2023
Organization subpart
No

Authorized official

Name
Daniel Stackowicz, DDS
Title
Owner
Phone
(208) 936-7338

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X Yes

Addresses

Primary practice location

16377 N Marketplace Blvd
Nampa, ID 83687-7910

Mailing address

16377 N Marketplace Blvd
Nampa, ID 83687-7910
Phone (208) 936-7338

Other names

  • Affordable Dentures & Implants - Nampa Doing business as

Other providers in Nampa, ID

All providers in Nampa, ID · General Practice Dentistry in Idaho

Sources for this page

Verify at the official NPI Registry.