Provider Demographics
NPI:1699930404
Name:DENNIS J. GARPETTI, DDS, P.C.
Entity type:Organization
Organization Name:DENNIS J. GARPETTI, DDS, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:GARPETTI
Authorized Official - Suffix:II
Authorized Official - Credentials:DDS
Authorized Official - Phone:208-377-2160
Mailing Address - Street 1:13108 WEST PERSIMMON LANE
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83713
Mailing Address - Country:US
Mailing Address - Phone:208-377-2160
Mailing Address - Fax:208-376-6440
Practice Address - Street 1:13108 WEST PERSIMMON LANE
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83713
Practice Address - Country:US
Practice Address - Phone:208-377-2160
Practice Address - Fax:208-376-6440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-21
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDD 33741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty