OrganizationActive
Michael R Bailey MD DDS PA
NPI 1053584284 · Oral and Maxillofacial Surgery (Dentist) · Boise, ID
Provider details
- NPI number
- 1053584284
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Michael Bailey, Owner(208) 344-9115
- License
- D3165/M6325 (ID)
Specialties & taxonomies
Dental Providers
Practice location
403 S 11th St
Suite 300
Boise, ID 83702-6968
Phone: (208) 344-9115
Fax: (208) 344-9113
Approximate (ZIP-level) locationGet directions
Mailing address
403 S 11th St
Boise, ID 83702-6968
Registry dates
- Enumerated
- 2008-04-09
- Last updated
- 2012-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.