# STEPHEN J RODELL DDS PA

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1912088709
- **Authorized official:** MR. STEPHEN J RODELL DDS (PRESIDENT)
- **Authorized official phone:** (208) 375-9488

## Contact information

- **Practice address:** 10480 W GARVERDALE CT, \#802, BOISE, ID 83704-5477
- **Practice address phone:** (208) 375-9488
- **Practice address fax:** (208) 376-2257
- **Mailing address:** 10480 W GARVERDALE CT, \#802, BOISE, ID 83704-5477
- **Mailing address phone:** (208) 375-9488
- **Mailing address fax:** (208) 376-2257

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | D2021 | ID | Yes |

## Other

- **Enumeration date:** 10/18/2006
- **Last updated:** 08/22/2020