Individual
NEAL P. WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3611 S 10TH AVE, CALDWELL, ID 83605-6209
(208) 459-3666
(208) 455-5058
Mailing address
3611 S 10TH AVE, CALDWELL, ID 83605-6209
(208) 459-3666
(208) 455-5058
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D-3560
ID
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
D7980
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487789681
TYPE 2 NPI NUMBER
ID
Enumeration date
10/30/2012
Last updated
10/30/2012
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