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

Dr. Jerry Michael Carbone, DMD

Individual provider Endodontics · NPI 1316050628

Dr. Jerry Michael Carbone, DMD is an Endodontics in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

12249 W McMillan Rd
Boise, ID 83713-0555
Phone: (208) 917-2855
Fax: (208) 258-7553
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence D-3642EN (ID)

Record details

NPI number1316050628
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 17, 2006
Last updated in NPPESOctober 1, 2014
Mailing address12249 W McMillan Rd, Boise, ID 83713-0555

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