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

Mr. Gennady S Babichenko, LD

Individual provider Denturist · NPI 1629115761

Mr. Gennady S Babichenko, LD is a Denturist in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007
What do these letters mean?
LD — Licensed Dietitian
A dietitian licensed by a state board.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

10480 W Garverdale Ct Ste 804B
Boise, ID 83704-5477
Phone: (208) 376-6613
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

Denturist (primary) Taxonomy 122400000X · Licence LD44 (ID)

Record details

NPI number1629115761
Entity typeIndividual (Type 1)
GenderMale
Credentials LD
Sole proprietorNo
NPI enumeratedJanuary 30, 2007
Last updated in NPPESJuly 8, 2007

Other providers in Boise