IndividualActive
Timothy Obrien, DDS, MD
NPI 1487910733 · Oral and Maxillofacial Surgery (Dentist) · Boise, ID
Provider details
- NPI number
- 1487910733
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS, MD
- Sex
- Male
- Sole proprietor
- No
- License
- D-5013-OS (ID)
Specialties & taxonomies
Dental Providers
Practice location
403 S 11th St Ste 320
Boise, ID 83702-6968
Phone: (208) 375-0191
Approximate (ZIP-level) locationGet directions
Mailing address
403 S 11th St Ste 320
Boise, ID 83702-6968
Registry dates
- Enumerated
- 2012-04-11
- Last updated
- 2021-06-03
- Certified
- 2021-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.