Rolf O Crichton, DDS
Individual provider Active NPI General Practice Dentistry · Boise, ID
NPI 1821158080 · NPPES record last updated Dec 3, 2007
Key facts
- NPI
- 1821158080
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- D3879 (ID)
- Practice address
- 10233 W Overland Rd
Boise, ID 83709-1430 - Phone
- (208) 323-4700
- Fax
- (208) 323-9409
- NPI assigned
- Dec 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D3879 | ID | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| F. Alan Walker, DMD, PC | Past | Accepting new patients | |
| South Boise Dentistry Co. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D3879 | ID | Yes |
Addresses
Primary practice location
10233 W Overland Rd
Boise, ID 83709-1430
Mailing address
10233 W Overland Rd
Boise, ID 83709-1430
Phone (208) 323-4700
Other providers in Boise, ID
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- Creswell Counseling Center LLC
- Judith Anne Crews
- Charlene A Crichton
- Carey Dawn Crill
- Kristin Cripps
- Matthew R Crispo
- John D Crites
- Jessica Rose Crocker-Oswald
All providers in Boise, ID · General Practice Dentistry in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.