Fowler, Brandon Boekamp

Fowler, Brandon Boekamp is an sole proprietor health care provider with primary practice located at 2015 S Eagle Rd , Meridian ID 83642-6707. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Fowler, Brandon Boekamp can be contacted via phone (208) 887-1053.

Contact Information

Primary practice address
2015 S Eagle Rd Meridian ID 83642-6707
Phone: (208) 887-1053
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 57470 California
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 57470 California
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X D-4813-OR Idaho

Profile Details

NPI number 1780830687
LBN Legal business name Fowler, Brandon Boekamp
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2008
Last updated Dec 4th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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