Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
NORTHWEST DENTAL GROUP
Active
Organization
NORTHWEST DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DON R COOK DDS (OWNER)
(208) 377-8078
Entity
Organization
Contact information
Practice address
8300 W NORTHVIEW ST, BOISE, ID 83704-7132
(208) 377-8078
(208) 377-3689
Mailing address
8300 W NORTHVIEW ST, BOISE, ID 83704-7132
(208) 377-8078
(208) 377-3689
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
820526879
TID
ID
Enumeration date
03/24/2020
Last updated
10/24/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers