OrganizationActive
Parkcenter Oral and Maxillofacial Surgery
NPI 1811670631 · Oral and Maxillofacial Surgery (Dentist) · Boise, ID
Provider details
- NPI number
- 1811670631
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Authorized official
- Stuart Rupp, Owner
Practice location
3190 E Barber Valley Dr
Boise, ID 83716
Phone: (208) 715-5219
Fax: (208) 504-2771
Mailing address
3190 E Barber Valley Dr
Boise, ID 83716
Registry dates
- Enumerated
- 2023-08-09
- Last updated
- 2023-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.