Individual
DR. MORGAN WAYNE HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5508 N EAGLE RD, BOISE, ID 83713-2700
(208) 386-3636
Mailing address
5508 N EAGLE RD, BOISE, ID 83713-2700
(208) 386-3636
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
11778355-9922
UT
122300000X
Dentist
167898
AK
122300000X
Dentist
7895
NE
1223E0200X
Endodontics
Primary
4671067
ID
Other
Enumeration date
08/05/2020
Last updated
07/16/2025
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