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

Koalby Brown

Individual provider General Practice Dentistry · NPI 1437641735

Koalby Brown is a General Practice Dentistry in Boise, Idaho. Practices as a sole proprietor and works from 3 locations. Licensed in Idaho.

Licensed in
ID
In the registry since
2018

Practice location Address checks out

13219 W Persimmon Ln
Boise, ID 83713-1986
Phone: (208) 373-0018
Fax: (208) 378-9676
Show map & directions

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

Additional practice locations (2)

  • 120 N A St, Grangeville, ID 83530-1211 — (208) 983-1651
  • 307 E Park St Ste 203, McCall, ID 83638-5255 — (208) 634-5255

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D4924 (ID)

Record details

NPI number1437641735
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 1, 2018
Last updated in NPPESApril 30, 2026
Certification dateApril 30, 2026
Mailing address13219 W Persimmon Ln, Boise, ID 83713-1986

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