Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boise Oral and Maxillofacial Surgery

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1699949750

Boise Oral and Maxillofacial Surgery is an Oral and Maxillofacial Surgery (Dentist) in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2008.

Licensed in
ID
In the registry since
2008

Practice location Address checks out

6363 W Emerald St Ste 103
Boise, ID 83704-8783
Phone: (208) 376-4550
Fax: (208) 376-4552
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence D-3407 (ID)

Record details

NPI number1699949750
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Kempers — Owner · (208) 376-4550
NPI enumeratedApril 18, 2008
Last updated in NPPESApril 18, 2008
Mailing address6363 W Emerald St, Suite 103, Boise, ID 83704-8783

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