Individual
DR. DANIEL EGBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
11136 MOSS LN, NAMPA, ID 83651-8015
(208) 466-0515
(208) 466-5359
Mailing address
PO BOX 9, NAMPA, ID 83653-0009
(208) 461-7149
(208) 467-3391
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6713
NV
122300000X
Dentist
90837729922
UT
122300000X
Dentist
Primary
D4606
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578975397
—
NV
Enumeration date
05/28/2014
Last updated
06/22/2023
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