# MR. BRET BOYLE CHRISTENSEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1568568269
- **Gender:** Man
- **Credential:** DDS MS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | D3069OR | ID | Yes |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | D3069OR | ID | — |

## Other

- **Enumeration date:** 09/16/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000010033124 | REGENCE BLUE SHIELD OF ID | ID |