Keaton Nicholson is a Boise, Idaho based Periodontics who is specialized in
Periodontology. does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Keaton Nicholson is
1781902 for Periodontology in Idaho. current practice location is
140 E Boise Ave, Boise. Patients can reach at
208-385-9228.
Keaton Nicholson is specialized in that branch of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Complete Profile:
Keaton Nicholson 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: | Keaton Nicholson |
| Specialization: | Periodontics |
| Gender: | X |
| Accepts Medicare Assignment: | No |
| Practice Address: | 140 E Boise Ave, Boise,
Idaho, 83706-4302 |
| Phone: | 208-385-9228 |
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: | 1902749864 |
| NPI Enumeration Date: | 13 Apr, 2026 |
| NPI Last Update On: | 17 Aug, 2026 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Keaton Nicholson are as mentioned below.
| License Number | Specialization | State | Status | |
| 1781902 | Periodontology | Idaho | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 140 E Boise Ave,
Boise, Idaho |
| Zip: | 83706-4302 |
Patients can reach Keaton Nicholson at
140 E Boise Ave, Boise, Idaho or can
call to book an appointment on 208-385-9228.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
14 September, 2026.