OrganizationActive
Candid Idaho, P.C.
NPI 1659988749 · Orthodontics and Dentofacial Orthopedics Dentistry · Boise, ID
Provider details
- NPI number
- 1659988749
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Thomas Shannon, DDS(860) 481-7631
Specialties & taxonomies
Dental Providers
Practice location
800 W Main St Ste 1460
Boise, ID 83702-5983
Phone: (860) 481-7631
Approximate (ZIP-level) locationGet directions
Mailing address
800 W Main St Ste 1460
Boise, ID 83702-5983
Registry dates
- Enumerated
- 2020-09-23
- Last updated
- 2020-09-23
- Certified
- 2020-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.