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NPI 1962882548

IndividualActive

Caleb Stott, DMD

NPI 1962882548 · Dentist · Eagle, ID

Provider details

NPI number: 1962882548
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DMD
Sex: Male
Sole proprietor: Yes
License: 8014319-9921 (UT)

Practice location

467 S. Rivershore Lane

Eagle, ID 83616-4978

Phone: (208) 792-6473

Fax: (208) 975-7041

More ID providers

Mailing address

467 S. Rivershore Lane

Eagle, ID 83616-4978

Registry dates

Enumerated: 2015-06-09
Last updated: 2024-06-06

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

Caleb Stott, DMD — NPI 1962882548, Eagle, ID | NPI Central