Dr. Jeffrey W Tuller, D.D.S., F.I.C.D.
Dentist, General Practice in Boise, ID. Individual provider (NPI-1).
NPI number1285641589
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1285641589
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jeffrey W Tuller
- Credential
- D.D.S., F.I.C.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 1, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | D2065 | ID | Yes |
Practice location
1201 S Five Mile RdBoise, ID 83709-1304
Phone 208-322-5655 · Fax 208-323-8160
Mailing address
1201 S Five Mile RdBoise, ID 83709-1304
Phone 208-322-5655 · Fax 208-323-8160
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