# MARTIN T. SACHSE, D.M.D., P.C.

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

## Provider details

- **NPI number:** 1760577332
- **Authorized official:** MARTIN T SACHSE D.M.D. (DENTIST)
- **Authorized official phone:** (208) 345-9096

## Contact information

- **Practice address:** 2720 OVERLAND ROAD, BOISE, ID 83705
- **Practice address phone:** (208) 345-9096
- **Practice address fax:** (208) 345-8214
- **Mailing address:** 2720 OVERLAND ROAD, BOISE, ID 83705
- **Mailing address phone:** (208) 345-9096
- **Mailing address fax:** (208) 345-8214

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | ID03580 | ID | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | ID03580 | ST OF ID PROVIDER ID \# | ID |