Individual provider · Type 1 NPI
Alexis Phillips, DMD
Pediatric Dentistry · Boise, ID
NPI number
1346771904
Active
Practice location
136 E Mallard Dr
Boise, ID 83706-3975
Fax (208) 908-6178
Mailing address
130 National Dr
Johns Creek, GA 30097-2079
Other practice locations
- 3333 Burnet Ave, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229 · (770) 856-1308
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | D-5002-PD (ID) |
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.
2 other providers at this address
Other pediatric dentistry providers in Boise
- Roy H. Rogers, DDS, M.S.Pediatric Dentistry Boise, ID NPI 1235170044
- Rodman Owen Emory, DDSPediatric Dentistry Boise, ID NPI 1427012046
- Jeffrey K. Davis, DDSPediatric Dentistry Boise, ID NPI 1730197849
- Malynn Rattanasamay, DDSPediatric Dentistry Boise, ID NPI 1740620731
- Cheryl Higer, DMDPediatric Dentistry Boise, ID NPI 1801059209
- Laura Breanna Videtich, DDSPediatric Dentistry Boise, ID NPI 1902381247
About NPI 1346771904
Alexis Phillips, DMD's National Provider Identifier is 1346771904, issued on Mar 24, 2017. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Boise, ID. The record was last updated on Mar 19, 2025.