IDAHO DENTAL PROFESSIONALS, P.C.
NPI 1114532645
Dentist - General Practice in Boise, ID

Active since September 11, 2020
2803 N BOGUS BASIN RD, BOISE, ID 83702(208) 343-1393 Get Directions Write a Review

NPPES record last updated: September 11, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Idaho Dental Professionals, P.c. NPPES

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

IDAHO DENTAL PROFESSIONALS, P.C. (NPI 1114532645), doing business as A Reason To Smile, is a healthcare organization registered as a general practice in Boise, Idaho and active in the NPI registry since September 2020. The organization lists Tabatha Lemke, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1114532645
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameIDAHO DENTAL PROFESSIONALS, P.C.
Location Address2803 N BOGUS BASIN RDBoise, ID 83702-0913
Mailing Address2803 N Bogus Basin RdBoise, ID 83702-0913
Organization SubpartYesParent: Heartland Dental
Authorized OfficialTabatha LemkeCredentialing Coordinator · (217) 540-6078
Enumeration DateSeptember 11, 2020
NPPES CertifiedSeptember 10, 2020
NPI 1114532645 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.
2803 N BOGUS BASIN RD, Boise, ID 83702

Other Names 1

Doing Business AsA Reason To Smile

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 3

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

Clinic/Center (Dental)
2803 N BOGUS BASIN RD
BOISE, ID 83702
Dentist
2803 N BOGUS BASIN RD
BOISE, ID 83702
Dentist
2803 N BOGUS BASIN RD
BOISE, ID 83702

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 Idaho Dental Professionals, P.C.'s NPI number?

The NPI number for Idaho Dental Professionals, P.C. is 1114532645. It was assigned to this organization in the NPPES registry on September 11, 2020. The provider is doing business as A Reason to Smile.

Where is Idaho Dental Professionals, P.C. located?

Idaho Dental Professionals, P.C. is located at 2803 N Bogus Basin Rd, Boise, ID 83702. The listed phone number is (208) 343-1393.

What is Idaho Dental Professionals, P.C.'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 Idaho Dental Professionals, P.C. was last updated on September 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.