MILLENNIUM FAMILY DENTAL - BOISE LLC
NPI 1104925064
Dentist - General Practice in Boise, ID

Q: What is Millennium Family Dental - Boise LLC's NPI number?

The NPI number for Millennium Family Dental - Boise LLC is 1104925064. It was assigned to this organization in the NPPES registry on September 21, 2006.

Q: What is Millennium Family Dental - Boise LLC's specialty?

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

Active since September 21, 2006

813 STILSON RD, SUITE B, BOISE, ID 83703(208) 342-4644(208) 367-0283 Get Directions Write a Review

NPPES record last updated: December 30, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Millennium Family Dental - Boise Llc NPPES

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

MILLENNIUM FAMILY DENTAL - BOISE LLC (NPI 1104925064) is a healthcare organization registered as a general practice in Boise, Idaho and active in the NPI registry since September 2006. The organization lists Jennifer Lynn Viquelia, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1104925064

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameMILLENNIUM FAMILY DENTAL - BOISE LLC

Location Address813 STILSON RD, SUITE BBoise, ID 83703

Mailing Address1848 Millenium WayMeridian, ID 83642 · (208) 888-2026 · Fax (208) 888-2094

Phone(208) 342-4644

Fax(208) 367-0283

Organization SubpartNo

Authorized OfficialJennifer Lynn ViqueliaOffice Manager · (208) 888-2026

Enumeration DateSeptember 21, 2006

Last NPPES UpdateDecember 30, 2014

✔ NPI 1104925064 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.

813 STILSON RD, Boise, ID 83703

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Other Identifiers 1

Medicaid806766100ID

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 2

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

DR. GEORGE H LEWIS DDS

Dentist (General Practice)

813 STILSON RD, SUITE A
BOISE, ID 83703

Ada County (208) 345-0390

RICHARD E FERGUSON D.D.S., M.S.

Dentist (Periodontics)

813 STILSON RD, SUITE C
BOISE, ID 83703

Ada County (208) 344-0908

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 Millennium Family Dental - Boise LLC's NPI number?

The NPI number for Millennium Family Dental - Boise LLC is 1104925064. It was assigned to this organization in the NPPES registry on September 21, 2006.

Where is Millennium Family Dental - Boise LLC located?

Millennium Family Dental - Boise LLC is located at 813 Stilson Rd Suite B, Boise, ID 83703. The listed phone number is (208) 342-4644.

What is Millennium Family Dental - Boise LLC'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 Millennium Family Dental - Boise LLC was last updated on December 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.