Search › Idaho › 1223G0001X
Jon Koeltl, D.D.S
NPI 1477672533 · on the registry since 2007 · sole proprietor
Practice
- Address
- 12349 W Mcmillan Rd
Boise, ID 83713 - Phone
- (208) 322-1112
- Fax
- (208) 322-3928
- Organisation at this address
- Jon Koeltl Dds, Pc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 1223G0001X
- Licence states on file
- CA, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-04-29
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