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Brock Hyder — NPI 1114403953, Boise, ID | NPI Central

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NPI 1114403953

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Brock Hyder

NPI 1114403953 · Dentist · Boise, ID

Provider details

NPI number: 1114403953
Entity type: Individual
Primary specialty: DentistDental Providers
Sex: Male
Sole proprietor: No
License: D-4954 (ID)

Specialties & taxonomies

DentistPrimary122300000XLicense D-4954 (ID)
Dental Providers

Practice location

13108 W Persimmon Ln

Boise, ID 83713-1986

Phone: (208) 377-2160

Fax: (208) 376-6440

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

13108 W Persimmon Ln

Boise, ID 83713-1986

Registry dates

Enumerated: 2018-07-16
Last updated: 2018-07-16

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.