Dr. Jon Michael Koeltl is a Boise, Idaho based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Jon Michael Koeltl is D-5228 for General Practice Dentistry in Idaho. His current practice location is 12349 W Mcmillan Rd, Boise. Patients can reach him at 208-322-1112.
Dr. Jon Michael Koeltl is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Jon Michael Koeltl speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Jon Michael Koeltl
Specialization:
Dentist
Gender:
Male
Credentials:
D.D.S.
Accepts Medicare Assignment:
No
Practice Address:
12349 W Mcmillan Rd, Boise, Idaho, 83713-5052
Phone:
208-322-1112
Fax:
208-322-3928
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 are as mentioned below.
NPI Number:
1477672533
NPI Enumeration Date:
28 Mar, 2007
NPI Last Update On:
29 Apr, 2025
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jon Michael Koeltl are as mentioned below.
License Number
Specialization
State
Status
D-5228
General Practice Dentistry
Idaho
Primary
47744
General Practice Dentistry
California
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
12349 W Mcmillan Rd, Boise, Idaho
Zip:
83713-5052
Phone Number:
208-322-1112
Fax Number:
208-322-3928
Patients can reach Dr. Jon Michael Koeltl at 12349 W Mcmillan Rd, Boise, Idaho or can call to book an appointment on 208-322-1112. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.