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

Wayne A Mortensen, DMD

Individual provider Dentist · NPI 1801023478

Wayne A Mortensen, DMD is a Dentist in Boise, Idaho. Works from 2 locations. Licensed in Idaho.

Licensed in
ID
In the registry since
2009
Specialties on file
2
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

9213 W State St
Boise, ID 83714-1737
Phone: (208) 853-3300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 317 W Cherry Ln, Meridian, ID 83642-1608 — (208) 395-1000

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D-4220 (ID)
Dentist Taxonomy 122300000X · Licence D4220 (ID)

Record details

NPI number1801023478
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 22, 2009
Last updated in NPPESDecember 10, 2018
Mailing address9213 W State St, Boise, ID 83714-1737

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