IndividualActive
Michael Bailey, M.D., D.D.S.
NPI 1891727582 · Oral and Maxillofacial Surgery (Dentist) · Boise, ID
Provider details
- NPI number
- 1891727582
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- M.D., D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- D3165 (ID)
Specialties & taxonomies
Dental Providers
Practice location
403 South 11th Street
Suite 300
Boise, ID 83702-6906
Phone: (208) 344-9115
Fax: (208) 344-9113
Approximate (ZIP-level) locationGet directions
Mailing address
403 South 11th Street
Boise, ID 83702-6906
Registry dates
- Enumerated
- 2006-07-06
- Last updated
- 2012-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.