DENTISTS OF BOISE AND ORTHODONTICS, PC


Address: 7500 W State St Ste 110, Boise, ID 83714-6074
Phone: 2082587740

DENTISTS OF BOISE AND ORTHODONTICS, PC (NPI# 1235747338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235747338
Entity Type Organization
Organization Name DENTISTS OF BOISE AND ORTHODONTICS, PC
Practice Address 7500 W State St Ste 110
Boise
ID 83714-6074
Mailing Address 17000 Red Hill Ave
Irvine
CA 92614-5626
Practice Telephone 2082587740
Practice Fax Number 2083506895
Mailing Telephone 7148458890
Mailing Fax Number 3038520892
Enumeration Date 2020-07-15
Last Update Date 2020-07-15
Authorized Official Name KEVIN JOHNSON (OWNER)
Authorized Official Telephone 2082587740
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
Dental Providers

Other Provider/Organization Names

Other Name Type Code
Dentists of Boise and Orthodontics Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names DENTISTS OF BOISE AND ORTHODONTICS, PC 7500 W State Hwy Ste 110, Boise, ID 83714

Office Location

Street Address 7500 W STATE ST STE 110
City BOISE
State ID
Zip Code 83714-6074

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932683752 Ikdo State Street LLC Dentist 9209 W State St, Garden City, ID 83714 2018-09-18
1437608007 Carrie Boroughs Breaux Ophthalmology 5019 N Sawyer Ave, Garden City, ID 83714 2016-09-23
1841646007 Alliance Medical Group, LLC Family Medicine 5601 W. Chinden Blvd., Garden City, ID 83714 2016-05-06
1134580467 Rebecca Gillet Physical Therapist 6576 W Dufferin Ct, Boise, ID 83714 2016-03-15
1063816007 Ingri Suzanne Koloski Counselor 8969 West Hepburn Lane, Garden City, ID 83714 2014-10-20
1679909329 Anile Nina Counselor 5484 N Gary Lane, Boise, ID 83714 2013-09-25
1215360292 William Blake Bybee Dentist 5833 W. Hidden Springs Dr., Boise, ID 83714 2013-08-14
1871833327 Charmaine Read Social Worker 123 E. 44th St, Ste. A, Garden City, ID 83714 2013-02-20
1811206576 Bennett Medical Services Durable Medical Equipment & Medical Supplies 5220 Sawyer Court, Suite D, Garden City, ID 83714 2010-09-29
1073780680 Barry Lynn Williams Pharmacist 7020 W State Street, Boise, ID 83714 2008-05-13
Find all providers in zip 83714

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588273635 Atlantis Dental Care, P.a. Dentist 13238 W Persimmon Ln Ste 100, Boise, ID 83713-1968 2020-07-24
1346895232 Tejasi Avasare Dentist 8321 W Overland Rd, Boise, ID 83709-1640 2019-08-07
1528610359 Melissa Marie Pysnak Dentist 8850 W Emerald St Ste 150, Boise, ID 83704-4809 2019-07-11
1124684584 Trevor Tafoya Dds Victory Dental, Pllc Dentist 7421 W Victory Rd, Boise, ID 83709-5106 2019-05-11
1982260360 Brant Burbank Dentist 4255 N Eagle Rd Ste 102, Boise, ID 83713-0701 2019-05-11
1972023398 Northview Dental Partnership LLC Dentist 7480 W Northview St, Boise, ID 83704-7232 2017-06-27
1962939421 Travis Jon Weimer Dentist 8336 W Northview St, Boise, ID 83704-7132 2017-05-16
1922480284 Jonathan W Pluid Dentist 4274 N Eagle Rd, Boise, ID 83713-0726 2015-06-23
1922489673 Gray Team LLC Dentist 813 N Stilson Rd, Ste:b, Boise, ID 83703-5119 2015-06-17
1538548011 Ryan M Payne Dmd PC Dentist 1975 S Broadway Ave, Boise, ID 83706-4201 2015-05-29
Find all providers in BOISE

Competitor

Search similar providers

City BOISE
Zip Code 83714

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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