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

Dr. Ryan M Kowalczyk, DDS

Individual provider General Practice Dentistry · NPI 1023121795

Dr. Ryan M Kowalczyk, DDS is a General Practice Dentistry in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1625 W Bannock St
Boise, ID 83702-5155
Phone: (208) 342-5444
Fax: (208) 342-2076
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D-3689 (ID)

Record details

NPI number1023121795
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedAugust 16, 2006
Last updated in NPPESDecember 6, 2023
Certification dateDecember 6, 2023
Mailing address1625 W Bannock St, Boise, ID 83702-5155

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