Search › Idaho › 1223G0001X
Kimball Mack, DMD
NPI 1659809200 · on the registry since 2017 · sole proprietor
Practice
- Address
- 4255 N Eagle Rd Ste 102
Boise, ID 83713 - Phone
- (208) 344-6300
- Fax
- (082) 938-9906
- Clinicians at this address
- 3
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
- 2025-08-28
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