Doctor profile · Federal record
Dr. Kimball Mack, DMD
General Practice Dentistry · Boise, ID
- NPI 1659809200
- 9 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
4255 N Eagle RD Ste 102
Boise, ID 837130701
(208) 344-6300
fax (082) 938-9906
Credentials & registration
- NPI registered
- May 2017 — 9 yrs on file
- Profile last updated
- August 28, 2025
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- Idaho #D5587
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1659809200. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$17
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Voco America INC. | 1 | $17.24 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
11
Patients
0
Total drug cost
$40
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 11 | 0 | $40 |
Frequently asked questions
What is Dr. Kimball Mack's medical specialty?
Dr. Kimball Mack practices General Practice Dentistry in Boise, ID.
Where does Dr. Kimball Mack practice?
Dr. Kimball Mack practices at 4255 N Eagle RD Ste 102, Boise, ID 837130701. Office phone: 2083446300.
What is Dr. Kimball Mack's NPI?
Dr. Kimball Mack's National Provider Identifier (NPI) is 1659809200, issued by NPPES.