Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1467480863 Individual Practitioner Male Practitioner

Dr. Glen K Stephenson , DMD

Dentist - General Practice • Boise, ID

Professional Overview & Biography Verified Profile Summary

Dr. Glen Stephenson, DMD is a registered healthcare professional specializing in Dentist - General Practice in Boise, ID. Practice services are available at 7480 NORTHVIEW ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7480 Northview St

Boise, ID 837047232

Telephone 2083754041
Fax 2083750225
Associated Practice Facility / Clinic

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 D3338

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
8051747 (ID)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Robert Peck , DMD

Dentist - General Practice

NPI 1003874140

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 7480 NORTHVIEW ST, BOISE, ID 837047232 (Tel: 2083754041)

📍
Updated Business Mailing Address July 09, 2007

Registered at 7480 NORTHVIEW ST, BOISE, ID 837047232 (Tel: 2083754041)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as GLEN STEPHENSON, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #D3338 in ID)

🟢
Initial NPI Registration & Enumeration June 28, 2006

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: 1467480863
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2006
Last Update: July 09, 2007
Sole Proprietor: No

Mailing Address

7480 Northview St

Boise, ID 837047232

Phone: 2083754041

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.