DR. Jerry Michael Carbone, D.M.D.

NPI #1316050628 in Boise, Idaho

Provider Information

NPI Number: 1316050628
Entity Type: Individual
Name: DR. Jerry Michael Carbone, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Endodontics
Credential: D.M.D.
Enumeration Date: Aug 17, 2006
Last Updated: Oct 1, 2014

Practice Location

Address: 12249 W MCMILLAN RD
City: Boise
State: Idaho
ZIP Code: 83713-0555
Phone: (208) 917-2855

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X	Primary

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