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Search › Idaho › 122300000X

Jordan Pilling, DMD

NPI 1194953703 · on the registry since 2009

Practice

Address
7677 W Emerald St
Boise, ID 83704
Phone
(208) 639-4390
Organisation at this address
Ascend Medical Llc
Boise Towne Square Dental
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-06-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho