IndividualActive
Eric Nelson, MD, DDS
NPI 1376593640 · Oral and Maxillofacial Pathology Dentistry · Boise, ID
Provider details
- NPI number
- 1376593640
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Credential
- MD, DDS
- Sex
- Male
- Sole proprietor
- No
- License
- D-3420-OS (ID)
Specialties & taxonomies
Dental Providers
Practice location
3003 W Main St Ste 130
Boise, ID 83702-2026
Phone: (208) 342-7610
Fax: (208) 344-1799
Approximate (ZIP-level) locationGet directions
Mailing address
3003 W Main St Ste 130
Boise, ID 83702-2026
Registry dates
- Enumerated
- 2006-05-10
- Last updated
- 2018-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.