Individual
DR. RYAN LEWIS HUMBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
607 2ND ST S, NAMPA, ID 83651-3837
(208) 466-2456
Mailing address
607 2ND ST S, NAMPA, ID 83651-3837
(208) 466-2456
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-4684
ID
1223G0001X
General Practice Dentistry
D-4684
ID
Other
Enumeration date
07/02/2015
Last updated
06/10/2025
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