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NPI 1831468651

OrganizationActive

Crump Enterprises

NPI 1831468651 · Point of Service · Boise, ID

Provider details

NPI number: 1831468651
Entity type: Organization
Primary specialty: Point of ServiceManaged Care Organizations
Organization subpart: No
Authorized official: Kimberly Smith, Manager(208) 376-7413
License: D4161 (ID)

Specialties & taxonomies

Point of ServicePrimary305S00000XLicense D4161 (ID)
Managed Care Organizations

Practice location

11311 W Chinden Blvd

Boise, ID 83714-1021

Phone: (208) 908-4430

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

11311 W Chinden Blvd

Boise, ID 83714-1021

Other names (DBA / former)

Doing business as: Boise Family Dental Care

Registry dates

Enumerated: 2011-12-22
Last updated: 2011-12-22

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

Crump Enterprises — NPI 1831468651, Boise, ID | NPI Central