IndividualActive
Charles Drew, DDS
NPI 1346473550 · Dentist · Burley, ID
Provider details
- NPI number
- 1346473550
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- D- 1701 (ID)
Specialties & taxonomies
Dental Providers
Practice location
1010 E Main St
Burley, ID 83318-2045
Phone: (208) 678-5597
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 899
Ketchum, ID 83340-0899
Registry dates
- Enumerated
- 2009-09-03
- Last updated
- 2009-09-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.