Organization · Type 2 NPI

Dentistry for Children

Pediatric Dentistry · Boise, ID

NPI number 1679665822 Active

Practice location

305 E Jefferson, Suite 103
Boise, ID 83712

Call (208) 384-9872 Map

Fax (208) 384-1801

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XD3196PD (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.

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About NPI 1679665822

Dentistry for Children's National Provider Identifier is 1679665822, issued on Sep 28, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Boise, ID. The record was last updated on Aug 22, 2020.