BOISE SMILES YOUTH DENTISTRY, PLLC
NPI 1033154604
Dentist - General Practice in Boise, ID

Q: What is Boise Smiles Youth Dentistry, PLLC's NPI number?

The NPI number for Boise Smiles Youth Dentistry, PLLC is 1033154604. It was assigned to this organization in the NPPES registry on June 18, 2006.

Q: What is Boise Smiles Youth Dentistry, PLLC's specialty?

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

Active since June 18, 2006

8744 FAIRVIEW AVE, BOISE, ID 83704(208) 322-3010(208) 322-9273 Get Directions Write a Review

NPPES record last updated: July 9, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Boise Smiles Youth Dentistry, Pllc NPPES

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

BOISE SMILES YOUTH DENTISTRY, PLLC (NPI 1033154604) is a healthcare organization registered as a general practice in Boise, Idaho and active in the NPI registry since June 2006. The organization lists Jenell Stump, Manager, Licensing & Credentialing, as its authorized official.

NPPES Registry Identity

NPI1033154604

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameBOISE SMILES YOUTH DENTISTRY, PLLC

Location Address8744 FAIRVIEW AVEBoise, ID 83704-8207

Mailing Address16 Arcade Unit 198747Nashville, TN 37219-1994 · (615) 750-0343 · Fax (615) 986-1705

Phone(208) 322-3010

Fax(208) 322-9273

Organization SubpartNo

Authorized OfficialJenell StumpManager, Licensing & Credentialing · (615) 750-0343

Enumeration DateJune 18, 2006

Last NPPES UpdateJuly 9, 2014

✔ NPI 1033154604 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.

8744 FAIRVIEW AVE, Boise, ID 83704

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Other Identifiers 1

Medicaid807095000ID

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

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 Boise Smiles Youth Dentistry, PLLC's NPI number?

The NPI number for Boise Smiles Youth Dentistry, PLLC is 1033154604. It was assigned to this organization in the NPPES registry on June 18, 2006.

Where is Boise Smiles Youth Dentistry, PLLC located?

Boise Smiles Youth Dentistry, PLLC is located at 8744 Fairview Ave, Boise, ID 83704. The listed phone number is (208) 322-3010.

What is Boise Smiles Youth Dentistry, PLLC'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 Boise Smiles Youth Dentistry, PLLC was last updated on July 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.