Dr. Jon Michael Koeltl , DDS
Dentist - General Practice • Boise, ID
Professional Overview & Biography Verified Profile Summary
Dr. Jon Koeltl, DDS is a registered healthcare professional specializing in Dentist - General Practice in Boise, ID. Practice services are available at 12349 W MCMILLAN RD under active NPI credentials.
Practice Location & Contact Primary Location
12349 W Mcmillan Rd
Boise, ID 837135052
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Boise, ID
Practicing in Boise, ID (781 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2025-04-29NUCC Taxonomy Code: 1223G0001X
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.
NUCC Taxonomy Code: 1223G0001X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 12349 W MCMILLAN RD, BOISE, ID 837135052 (Tel: 2083221112)
Registered at 12349 W MCMILLAN RD, BOISE, ID 837135052 (Tel: 2083221112)
NPI status registered as active in NPPES database
Registered at 156 DIABLO RD STE 202, DANVILLE, CA 945263312 (Tel: 9258371742)
Registered at 156 DIABLO RD STE 202, DANVILLE, CA 945263312 (Tel: 9258371742)
Recorded as JON KOELTL, D.D.S.
Dentist (License #47744 in CA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
12349 W Mcmillan Rd
Boise, ID 837135052
Phone: 2083221112
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.