Organization · Type 2 NPI

Boise Toothtown Dentistry for Kids PLLC

Pediatric Dentistry · Boise, ID

NPI number 1780037705 Active

Practice location

13014 W Persimmon Ln
Boise, ID 83713-1986

Call (208) 377-2072 Map

Fax (208) 376-7580

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001XD4031 (ID)
Pediatric Dentistry Primary 1223P0221XD4186PD (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.

3 other providers at this address

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About NPI 1780037705

Boise Toothtown Dentistry for Kids PLLC's National Provider Identifier is 1780037705, issued on Jul 14, 2016. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Boise, ID. The record was last updated on Jul 14, 2016.