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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

TIMES SQUARE DENTAL
NPI 1013831775
Dentist - General Practice in Boise, ID

Active since August 06, 2026
1529 S TIMESQUARE LN, BOISE, ID 83709(208) 343-1981 Get Directions Write a Review

NPPES record added: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Times Square Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMES SQUARE DENTAL (NPI 1013831775) is a healthcare organization registered as a general practice in Boise, Idaho and active in the NPI registry since August 2026. The organization lists Gina Nettles, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1013831775
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTIMES SQUARE DENTAL
Location Address1529 S TIMESQUARE LNBoise, ID 83709-8266
Mailing Address1529 S Timesquare LnBoise, ID 83709-8266 · (208) 343-1981
Phone(208) 343-1981
Organization SubpartNo
Authorized OfficialGina NettlesOffice Manager · (208) 989-3727
Enumeration DateAugust 6, 2026
NPPES CertifiedAugust 6, 2026
✔ NPI 1013831775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1529 S TIMESQUARE LN, Boise, ID 83709
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JON RILEY HASTINGS DDS
Dentist (General Practice)
1529 S TIMESQUARE LN
BOISE, ID 83709
Ada County (208) 343-1981
DR. KATHLEEN MCKAY TRAVELLE D.D.S.
Dentist (General Practice)
1529 S TIMESQUARE LN
BOISE, ID 83709
Ada County (208) 314-1901
CAROLINE PRUITT IRONS
Dentist (General Practice)
1529 S TIMESQUARE LN
BOISE, ID 83709
Ada County (208) 343-1981
JACQUELYN DONNA SHOTWELL-VANDERHOOF
Marriage & Family Therapist
1529 S TIMESQUARE LN, STE 200
BOISE, ID 83709
Ada County (208) 376-1532

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Times Square Dental's NPI number?

The NPI number for Times Square Dental is 1013831775. It was assigned to this organization in the NPPES registry on August 6, 2026.

Where is Times Square Dental located?

Times Square Dental is located at 1529 S Timesquare Ln, Boise, ID 83709. The listed phone number is (208) 343-1981.

What is Times Square Dental's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Times Square Dental was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.