IndividualActive
Christian Cusimano, DDS, MS
NPI 1497166235 · Orthodontics and Dentofacial Orthopedics Dentistry · Nampa, ID
Provider details
- NPI number
- 1497166235
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DDS, MS
- Sex
- Male
- Sole proprietor
- No
- License
- D-3247-OR (ID)
Specialties & taxonomies
Dental Providers
Practice location
345 W Iowa Ave
Nampa, ID 83686-2856
Phone: (208) 467-4362
Fax: (208) 463-9080
Approximate (ZIP-level) locationGet directions
Mailing address
345 W Iowa Ave
Nampa, ID 83686-2856
Registry dates
- Enumerated
- 2014-05-14
- Last updated
- 2015-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.