TMD PLLC (NPI# 1366601734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366601734 |
| Entity Type | Organization |
| Organization Name | TMD PLLC |
| Other Organization Name | MODERN DENTAL |
| Practice Address |
2031 E Hospitality Ln Suite 100 Boise ID 83716-6603 |
| Practice Telephone | 2083339999 |
| Practice Fax Number | 2083435889 |
| Mailing Telephone | 2083339999 |
| Mailing Fax Number | 2083435889 |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2011-09-06 |
| Authorized Official Name | MRS. MICHELLE D RYAN (OFFICE MANAGER) |
| Authorized Official Telephone | 2083339999 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D3273 | ID | Dental Providers |
| Other Name | Type Code |
|---|---|
| Modern Dental | Other Name - Individual/Organization |
| Street Address |
2031 E HOSPITALITY LN SUITE 100 |
| City | BOISE |
| State | ID |
| Zip Code | 83716-6603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508979766 | Chad Willard Roskelley | Dentist | 2031 E Hospitality Ln, Ste 100, Boise, ID 83716-6603 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790294973 | The Pt Next Door | Clinic/Center | 6098 E. Grand Prairie Drive, Boise, ID 83716 | 2017-09-20 |
| 1326577610 | Koreen Boydstun | Specialist/Technologist | 3301 Sweetwater Dr, Boise, ID 83716 | 2017-06-08 |
| 1558806117 | Katie Palmer | Behavioral Analyst | 2939 S Shadywood Way, Boise, ID 83716 | 2017-01-05 |
| 1245680099 | Elaine Key Md Pllc | Anesthesiology | 3919 E Timbersaw Dr, Boise, ID 83716 | 2016-06-13 |
| 1174993463 | Daria Elizabeth Karas | Physician Assistant | 8000 S. Federal Way, Boise, ID 83716 | 2015-09-30 |
| 1407239973 | Humangood Idaho | Skilled Nursing Facility | 5301 E Warm Springs Ave, Boise, ID 83716 | 2015-07-02 |
| 1225460066 | Katherine Elizabeth Turnbull | Nurse Practitioner | 2051a E Summersweet Dr, Boise, ID 83716 | 2013-08-03 |
| 1134483845 | Karen D Lodge | Pharmacist | 5211 S Farmhouse Pl, Boise, ID 83716 | 2012-06-27 |
| 1730341827 | Christopher A Thomason | Dentist | 5898 S Quamash Way, Boise, ID 83716 | 2008-06-30 |
| 1861515637 | Tyler John Harrington | Dentist | 2033 E Summersweet Dr, Boise, ID 83716 | 2007-04-09 |
| Find all providers in zip 83716 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1093369241 | Daniel Bryan Ackerman | Dentist | 10200 W Emerald St Ste 105, Boise, ID 83704-8900 | 2019-07-26 |
| 1497105944 | Carson Steven Dial | Dentist | 1529 S Timesquare Ln Ste 100, Boise, ID 83709-8204 | 2016-06-15 |
| 1538563044 | Smiles 4 Kids | Dentist | 5737 W Fairview Ave, Boise, ID 83706-1168 | 2014-10-13 |
| 1407260128 | David A Luker | Dentist | 514 S El Blanco Dr, Boise, ID 83709-0444 | 2014-06-20 |
| 1841626710 | Stephen Anthony Hubert | Dentist | 600 E. Riverpark Ln., Ste. 100, Boise, ID 83706-7237 | 2013-09-23 |
| 1215360292 | William Blake Bybee | Dentist | 5833 W. Hidden Springs Dr., Boise, ID 83714 | 2013-08-14 |
| 1346689866 | Boise Towne Square Dental | Dentist | 7677 W. Emerald, Boise, ID 83704 | 2013-06-18 |
| 1396183976 | Anne K. Steinberg, Dmd, P. C. | Dentist | 1410 S Entertainment Ave, Boise, ID 83709-8306 | 2013-06-05 |
| 1912344284 | David Norman Wold | Dentist | 8950 W Emerald St Ste 108, Boise, ID 83704 | 2013-05-28 |
| Find all providers in BOISE | ||||
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| 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.