Search › Idaho › 1223E0200X
Jerry Carbone, D.M.D
NPI 1316050628 · on the registry since 2006
Practice
- Address
- 12249 W Mcmillan Rd
Boise, ID 83713 - Phone
- (208) 917-2855
- Fax
- (208) 258-7553
- Organisation at this address
- Intermountain Dental Specialists
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1223E0200X
1223E0200X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-10-01
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