Christensen, Bret Boyle

Christensen, Bret Boyle is an individual health care provider with primary practice located at 77 Southway Ave Ste D, Lewiston ID 83501-2200. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Dentist is his primary health care specialty. Christensen, Bret Boyle can be contacted via phone (208) 798-4427.

Contact Information

Primary practice address
77 Southway Ave Ste D Lewiston ID 83501-2200
Phone: (208) 798-4427
Fax: (208) 743-4807
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D3069OR Idaho
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X D3069OR Idaho

Profile Details

NPI number 1568568269
LBN Legal business name Christensen, Bret Boyle
Credentials DDS MS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568568269 NPPES
Idaho Other 000010033124 REGENCE BLUE SHIELD OF ID

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