Search › Idaho › 1223G0001X
Kirk Davidson, DMD
NPI 1538347513 · on the registry since 2008 · sole proprietor
Practice
- Address
- 476653 Highway 95
Suite 1
Ponderay, ID 83852 - Phone
- (208) 265-6771
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-02-01
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