AFFINITY DENTAL (NPI# 1629371026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629371026 |
| Entity Type | Organization |
| Organization Name | AFFINITY DENTAL |
| Other Organization Name | SOUTHWEST DENTAL ASSOCIATES |
| Practice Address |
1201 S Five Mile Rd Boise ID 83709-1304 |
| Practice Telephone | 2083225655 |
| Mailing Telephone | 2083225655 |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2013-02-15 |
| Authorized Official Name | DR. HELEN HARLESS (DENTIST/OWNER) |
| Authorized Official Telephone | 2145876165 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
D4304 | ID | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Southwest Dental Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346788395 | Affinity Dental | Dentist | 2015 W Irving Park Rd, Chicago, IL 60618-3909 | 2017-02-09 |
| 1548582166 | Affinity Dental | Clinic/Center | 1811 S Rainbow Blvd, Suite 101, Las Vegas, NV 89146-0894 | 2010-02-23 |
| 1467780585 | Affinity Dental | Dentist | 14 Gallivan Ln, Uncasville, CT 06382-1208 | 2009-12-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Affinity Dental Arts, PLLC | 601 E. Hampden Ave., Suite 300, Englewood, CO 80113 |
| System for Award Management (SAM) Entities | AFFINITY DENTAL LAB | 2900 Blankenbaker Pkwy Ste 150, Louisville, KY 40299-2565 |
| New York State Corporations | AFFINITY DENTAL MANAGEMENT OF THE CAPITAL DISTRICT, LLC | 171 Park Avenue, Ste. 105, West Springfield, Ma 01089 |
| New York State Corporations | AFFINITY DENTAL MANAGEMENT, INC. | 171 Park Avenue, Ste. 105, West Springfield, Massachusetts 01089 |
| Connecticut Business Registrations | AFFINITY DENTAL MANAGEMENT, INC. | 171 Park Ave Ste 105, West Springfield, MA 01089 |
| Washington State Corporations | AFFINITY DENTAL PARTNERS, LLC | 2109 Nw Beauchamp Ct, Camas, WA 98607-7422 |
| Street Address |
1201 S FIVE MILE RD |
| City | BOISE |
| State | ID |
| Zip Code | 83709-1304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699751560 | Helen Hallquist Harless | Dentist | 1201 S Five Mile Rd, Boise, ID 83709-1304 | 2005-12-21 |
| 1902351364 | Michelle Phillips | Dental Hygienist | 1201 S Five Mile Rd, Boise, ID 83709-1304 | 2016-08-15 |
| 1124346499 | Southwest Dental Associates | Dentist | 1201 S Five Mile Rd, Boise, ID 83709-1304 | 2010-05-12 |
| 1437165198 | Dennis L George | Dentist | 1201 S Five Mile Rd, Boise, ID 83709-1304 | 2006-08-01 |
| 1285641589 | Jeffrey W Tuller | Dentist | 1201 S Five Mile Rd, Boise, ID 83709-1304 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655398 | Jayme Rossow | Occupational Therapist | 101 S. Allumbaugh Way, Boise, ID 83709 | 2020-10-05 |
| 1578195285 | Kara Taylor | Counselor | 9196 W Barnes St., Boise, ID 83709 | 2020-02-11 |
| 1164080164 | Elena Stamm | Audiologist | 10000 W Amity Rd, Boise, ID 83709 | 2019-06-04 |
| 1326550096 | Lawrence D Anderson Md Estate | Optometrist | 8955 W Hackamore Dr, Boise, ID 83709 | 2017-11-02 |
| 1457879975 | Mark Aaron Phelan | Registered Nurse | 779 S. Tennyson Way, Boise, ID 83709 | 2017-09-05 |
| 1235665290 | Sharon Nelson | Dietitian, Registered | 2790 S Goshen Way, Boise, ID 83709 | 2017-05-11 |
| 1982139622 | First Choice Healthcare, Inc. | Home Health | 12400 W. Overland Rd., Ste 100, Boise, ID 83709 | 2017-05-01 |
| 1801320254 | Deborah Carson | Social Worker | 8349 West Harmonica Way, Boise, ID 83709 | 2017-04-12 |
| 1114479862 | Allyson Anne Bates | Nurse Practitioner | 10583 W Lake Hazel Road, Samg Family Medicine, Boise, ID 83709 | 2016-10-28 |
| 1508221391 | Elisha L. Garrison | Counselor | 9196 W. Barnes Street, Boise, ID 83709 | 2015-12-21 |
| Find all providers in zip 83709 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831678903 | Town Square Dental Partners, Pllc | Clinic/Center | 8660 W Emerald St Ste 152, Boise, ID 83704-4828 | 2018-08-09 |
| 1265935902 | Wilson Dental Pllc | Clinic/Center | 10497 W Garverdale Ct Ste 107, Boise, ID 83704-5468 | 2018-03-08 |
| 1912356841 | Joseph P. Schmidt Pllc | Clinic/Center | 2600 W Rose Hill St, Suite 100, Boise, ID 83705-5967 | 2016-06-10 |
| 1487046363 | Boise Caring Dentistry, P.C. | Clinic/Center | 5630 N Eagle Rd, Suite 101, Boise, ID 83713-4901 | 2015-03-02 |
| 1598154981 | Horizon 1 Pllc | Clinic/Center | 1000 N Curtis Rd Ste 103, Boise, ID 83706-1345 | 2015-01-22 |
| 1336220144 | Robert O Stevens Dmd, Pa | Clinic/Center | 10572 W Business Park Ln, Boise, ID 83709-6797 | 2006-10-18 |
| 1902810633 | Community Health Clinics | Clinic/Center | 2301 N 36th St, Suite 102, Boise, ID 83703-5207 | 2006-07-28 |
| 1255339297 | Dr. Kaci B. Jensen, Pllc | Clinic/Center | 9755 W Leo Dr, Boise, ID 83709-8249 | 2005-07-13 |
| 1427669720 | Lake Harbor Dental Pllc | Clinic/Center | 5355 W State St, Boise, ID 83703-3333 | 2020-08-11 |
| 1659915437 | Weimer Dental Pllc | Clinic/Center | 8336 W Northview St, Boise, ID 83704-7132 | 2019-11-04 |
| 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.