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Active NPI 1417126244 Individual Practitioner Male Practitioner

Dr. Gordon G Croft , DMD

Dentist - General Practice • Boise, ID

Professional Overview & Biography Verified Profile Summary

Dr. Gordon Croft, DMD is a registered healthcare professional specializing in Dentist - General Practice in Boise, ID. Practice services are available at 8300 NORTHVIEW ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8300 Northview St

Boise, ID 837047132

Telephone 2083778078
Fax 2083773689
Associated Practice Facility / Clinic
🏢 Northwest Dental Center, Pa Facility NPI 1639278146

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Boise, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.3 Yrs
Regional Practice Density
142 Specialists

Practicing in Boise, ID (781 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License ID D1518

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
000789200 (ID)
Commercial Insurance / Payer ID Blue Cross
6C396 (ID)
Commercial Insurance / Payer ID United Concordia
462879 (ID)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. David Bingham , DDS

Dentist - General Practice

NPI 1821401340

Doctor of Dental Surgery

Dr. Don Cook , DDS

Dentist - General Practice

NPI 1932378767

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address April 23, 2018

Registered at PO BOX 9, NAMPA, ID 836530009 (Tel: 2084674431)

NPI Profile Active February 26, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location February 26, 2008

Registered at 8300 NORTHVIEW ST, BOISE, ID 837047132 (Tel: 2083778078)

📍
Updated Business Mailing Address February 26, 2008

Registered at 5220 HOWRY LN, MERIDIAN, ID 836427042 (Tel: 2083621274)

👤
Provider Name / Credentials Updated February 26, 2008

Recorded as GORDON CROFT, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2008

Dentist (License #D1518 in ID)

🟢
Initial NPI Registration & Enumeration February 26, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417126244
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 26, 2008
Last Update: April 23, 2018
Sole Proprietor: No

Mailing Address

Po Box 9

Nampa, ID 836530009

Phone: 2084674431

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.