Search › Idaho › 1223G0001X
Justin Madsen, D.D.S
NPI 1417290479 · on the registry since 2013 · sole proprietor
Practice
- Address
- 2301 N 26th St Ste 102
Boise, ID 83702 - Phone
- (208) 336-8801
- Fax
- (208) 336-8682
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 390200000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-10-06
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