Lynn R. Blaisdell, DDS, PA
Lynn R. Blaisdell, DDS, PA provides General Practice Dentistry in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2008.
- Licensed in
- ID
- In the registry since
- 2008
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
8877 W Hackamore DrBoise, ID 83709-1671 Not confirmed with CMS for 18 years — call before visiting
Phone: (208) 377-9696
Fax: (208) 377-9698
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 · Licence D1697 (ID) |
|---|
Record details
| NPI number | 1881853208 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lynn Blaisdell — President/Owner · (208) 377-9696 |
| NPI enumerated | June 2, 2008 |
| Last updated in NPPES | June 2, 2008 |
| Mailing address | 8877 W Hackamore Dr, Boise, ID 83709-1671 |
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