Individual
BOSTON WEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1515 N 400 E STE 104, NORTH LOGAN, UT 84341-7595
(208) 232-7862
Mailing address
500 S 11TH AVE STE 400, POCATELLO, ID 83201-4880
(208) 232-7862
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14224390-9923
UT
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us