SearchIdaho122300000X

Douglas Whittet, DMD

NPI 1205150406 · on the registry since 2010 · sole proprietor

Practice

Address
1122 N Liberty St
Boise, ID 83704
Phone
(208) 947-6821
Clinicians at this address
3

Registry record

Primary taxonomy
122300000X
122300000X
Also registered as
122300000X
Licence states on file
ID, OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-03-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho