Organization · Type 2 NPI

Sprout Pediatric Dentistry,pllc

Pediatric Dentistry · Boise, ID

NPI number 1114685245 Active

Practice location

7800 W Ustick Rd
Boise, ID 83704-5848

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XNone listed

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1114685245

Sprout Pediatric Dentistry,pllc's National Provider Identifier is 1114685245, issued on Dec 6, 2021. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Boise, ID. The record was last updated on Dec 6, 2021.