Jason Champagne Idaho 2, PLLC
Jason Champagne Idaho 2, PLLC provides General Practice Dentistry in Boise, Idaho. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1212 N Cole RdBoise, ID 83704-8646
Phone: (208) 375-4253
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1619725132 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jason Champagne — Owner · (775) 359-3934 |
| Other names | Value Dental |
| NPI enumerated | May 9, 2024 |
| Last updated in NPPES | May 9, 2024 |
| Certification date | May 9, 2024 |
| Mailing address | Po Box 2070, Sparks, NV 89432-2070 |
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