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Carson Dial, DMD — NPI 1497105944, Star, ID | NPI Central

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NPI 1497105944

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Carson Dial, DMD

NPI 1497105944 · Dentist · Star, ID

Provider details

NPI number: 1497105944
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DMD
Sex: Male
Sole proprietor: Yes
License: D-4757 (ID)

Specialties & taxonomies

DentistPrimary122300000XLicense D-4757 (ID)
Dental Providers
General Practice Dentistry1223G0001XLicense D-4757 (ID)
Dental Providers

Practice location

10661 W State St

Star, ID 83669-5924

Phone: (208) 286-9890

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

10661 W State St

Star, ID 83669-5924

Registry dates

Enumerated: 2016-06-15
Last updated: 2024-03-04
Certified: 2024-03-04

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