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Whitewater Oral Surgery Group Pllc

Oral and Maxillofacial Surgery (Dentist) in Boise, ID · enumerated 2014 · authorized official Kevin Kempers, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104248053

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Registry record

Entity type Organization (Type 2)
Legal business name Whitewater Oral Surgery Group Pllc
Practice address 3003 W Main St Ste 130, Boise, ID, 83702
Phone (208) 342-7610
Fax (208) 344-1799
Enumeration date Jan 13, 2014
Last updated in NPPES Sep 4, 2020

Taxonomy & classification

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers · License D3407 (ID) Primary
1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers · License M7750 (ID) Secondary

Authorized official

Name Kevin Kempers
Title Owner
Phone (208) 342-7610

Other identifiers

Identifier Type State Issuer
805496900 Medicaid ID -
805511300 Medicaid ID -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-09-04. Verify at npiregistry.cms.hhs.gov.
Where is Whitewater Oral Surgery Group Pllc located?
The practice location on file with NPPES is in Boise, ID.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-09-04.