Whitewater Oral Surgery Group Pllc is a Oral and Maxillofacial Dental Clinic in Boise, Idaho. It is located at 3003 W Main St Ste 130, Boise, ID and its contact number is 208-342-7610. The authorized person for Whitewater Oral Surgery Group Pllc is Dr. Kevin Glenn Kempers
who is Owner of the clinic and their contact number is 208-342-7610. The primary license number for Whitewater Oral Surgery Group Pllc is D3407 (Oral and Maxillofacial Surgery) in Idaho. Whitewater Oral Surgery Group Pllc Clinic deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Clinic Profile:
Whitewater Oral Surgery Group Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Whitewater Oral Surgery Group Pllc
Specialization:
Oral and Maxillofacial Surgery
Clinic Address:
3003 W Main St Ste 130, Boise, Idaho, 83702-2026
Phone:
208-342-7610
Fax:
208-344-1799
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Kevin Glenn Kempers
Position:
Owner
Contact Number:
208-342-7610
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Whitewater Oral Surgery Group Pllc clinic are as mentioned below.
NPI Number:
1104248053
NPI Enumeration Date:
13 Jan, 2014
NPI Last Update On:
04 Sep, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Whitewater Oral Surgery Group Pllc are as mentioned below.
Specialization
License Number
State
Status
Oral and Maxillofacial Surgery
D3407
Idaho
Primary
Oral and Maxillofacial Surgery
M7750
Idaho
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
805496900
Medicaid
Idaho
805511300
Medicaid
Idaho
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Whitewater Oral Surgery Group Pllc 3003 W Main St Ste 130, Boise, Idaho
Zip:
83702-2026
Phone Number:
208-342-7610
Fax Number:
208-344-1799
Patients can reach Whitewater Oral Surgery Group Pllc at 3003 W Main St Ste 130, Boise, Idaho or can call to book an appointment on 208-342-7610. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.