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

Dr. Kimball Gray Mack, DMD

Individual provider General Practice Dentistry · NPI 1659809200

Dr. Kimball Gray Mack, DMD is a General Practice Dentistry in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2017
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

4255 N Eagle Rd Ste 102
Boise, ID 83713-0701
Phone: (208) 344-6300
Fax: (082) 938-9906
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D5587 (ID)

Record details

NPI number1659809200
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedMay 26, 2017
Last updated in NPPESAugust 28, 2025
Certification dateAugust 28, 2025
Mailing address4255 N Eagle Rd Ste 102, Boise, ID 83713-0701

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