Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740605104 Individual Practitioner Male Practitioner

Dr. Daniel John Stackowicz , DDS

Dentist - General Practice • Boise, ID

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Stackowicz, DDS is a registered healthcare professional specializing in Dentist - General Practice in Boise, ID. Practice services are available at 1410 S ENTERTAINMENT AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1410 S Entertainment Ave

Boise, ID 837098306

Telephone 2083214937
Fax 2083214834
Associated Practice Facility / Clinic
🏢 Anne K. Steinberg, Dmd, P. C. Facility NPI 1396183976

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

CMS Verified: 2020-12-11
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License ID D5162

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

7500 Cambridge St, Suite 6510

Houston, TX 770542032

Phone: 7135864052

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Anne Steinberg , DMD

Dentist - General Practice

NPI 1497002158

Doctor of Dental Medicine

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location December 11, 2020

Registered at 1410 S ENTERTAINMENT AVE, BOISE, ID 837098306 (Tel: 2083214937)

📍
Updated Business Mailing Address December 11, 2020

Registered at 1410 S ENTERTAINMENT AVE, BOISE, ID 837098306 (Tel: 2083214937)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2020

Dentist (License #D5162 in ID)

NPI Profile Active February 21, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location February 21, 2014

Registered at 7500 CAMBRIDGE ST, SUITE 6510, HOUSTON, TX 770542032 (Tel: 7135864052)

📍
Updated Business Mailing Address February 21, 2014

Registered at 7500 CAMBRIDGE ST, SUITE 6510, HOUSTON, TX 770542032 (Tel: 7135864052)

👤
Provider Name / Credentials Updated February 21, 2014

Recorded as DANIEL STACKOWICZ, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2014

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration February 21, 2014

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: 1740605104
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 21, 2014
Last Update: December 11, 2020
Sole Proprietor: No

Mailing Address

1410 S Entertainment Ave

Boise, ID 837098306

Phone: 2083214937

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.