RANDY DEMETTER, DDS
Periodontics · BOISE, ID
Individual Active NPI 1275941288
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Periodontics | 1223P0300X | ✓ | D-4831-PE | ID |
| Periodontics | 1223P0300X | ETN283 | TX |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- No
- Hospice
- Yes
Other Periodontics providers in Idaho
- NPI 1700994852
- NPI 1831101518
- NPI 1841731957
- NPI 1194175232
- NPI 1003027400
- NPI 1346224458
- NPI 1184399214
- NPI 1437728383
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.