IndividualActive
James Rock
NPI 1831774611 · Oral and Maxillofacial Radiology Dentistry · Boise, ID
Provider details
- NPI number
- 1831774611
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Radiology DentistryDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- D-5186-RD (ID)
Specialties & taxonomies
Dental Providers
Practice location
11092 W Petunia Dr
Boise, ID 83709-7098
Phone: (208) 891-0725
Approximate (ZIP-level) locationGet directions
Mailing address
10400 W Overland Rd
Boise, ID 83709-1433
Registry dates
- Enumerated
- 2021-03-13
- Last updated
- 2021-03-13
- Certified
- 2021-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.