# REED K JARVIS DDS PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jarvis Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215039318
- **Authorized official:** MR. REED K JARVIS DDS (OWNER)
- **Authorized official phone:** (208) 322-8200

## Contact information

- **Practice address:** 9460 FRANKLIN RD, BOISE, ID 83709
- **Practice address phone:** (208) 322-8200
- **Practice address fax:** (208) 322-7561
- **Mailing address:** 9460 W FRANKLIN RD, BOISE, ID 83709-0500
- **Mailing address phone:** (208) 322-8200
- **Mailing address fax:** (208) 322-7561

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D1526 | ID | Yes |

## Other

- **Enumeration date:** 09/01/2006
- **Last updated:** 06/18/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 002420900 | — | ID |