# CRAIG D. BLAISDELL, DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023987369
- **Authorized official:** CRAIG BLAISDELL D.D.S (OWNER)
- **Authorized official phone:** (208) 377-9696

## Contact information

- **Practice address:** 8877 W HACKAMORE DR, BOISE, ID 83709-1671
- **Practice address phone:** (208) 377-9696
- **Practice address fax:** (208) 377-9698
- **Mailing address:** 8877 W HACKAMORE DR, BOISE, ID 83709-1671
- **Mailing address phone:** (208) 377-9696
- **Mailing address fax:** (208) 377-9698

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/04/2025
- **Last updated:** 11/04/2025