Wayne Mortensen DMD PC
Wayne Mortensen DMD PC is a Dental Clinic/Center in Boise, Idaho. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
9213 W State StBoise, ID 83714-1737
Phone: (208) 853-3300
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1134885684 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Wayne Mortensen — Dr/Owner · (208) 853-3300 |
| Other names | Smiles On State Street |
| NPI enumerated | November 9, 2021 |
| Last updated in NPPES | July 6, 2023 |
| Certification date | July 6, 2023 |
| Mailing address | 9213 W State St, Boise, ID 83714-1737 |
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