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SPROUT PEDIATRIC DENTISTRY,PLLC
NPI 1114685245
Dentist - Pediatric Dentistry in Boise, ID

Active since December 06, 2021
7800 W USTICK RD, BOISE, ID 83704(208) 576-6791 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sprout Pediatric Dentistry,pllc NPPES

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

SPROUT PEDIATRIC DENTISTRY,PLLC (NPI 1114685245) is a healthcare organization registered as a pediatric dentistry in Boise, Idaho and active in the NPI registry since December 2021. The organization lists Rachel Mitchell, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1114685245
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSPROUT PEDIATRIC DENTISTRY,PLLC
Location Address7800 W USTICK RDBoise, ID 83704-5848
Mailing Address7800 W Ustick RdBoise, ID 83704-5848 · (208) 576-6791
Phone(208) 576-6791
Organization SubpartNo
Authorized OfficialRachel MitchellBusiness Manager · (208) 467-5100
Enumeration DateDecember 6, 2021
NPPES CertifiedDecember 6, 2021
✔ NPI 1114685245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
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.
7800 W USTICK RD, Boise, ID 83704
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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

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

MALYNN RATTANASAMAY DDS
Dentist (Pediatric Dentistry)
7800 W USTICK RD
BOISE, ID 83704
Ada County (208) 576-6791

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 Sprout Pediatric Dentistry,pllc's NPI number?

The NPI number for Sprout Pediatric Dentistry,pllc is 1114685245. It was assigned to this organization in the NPPES registry on December 6, 2021.

Where is Sprout Pediatric Dentistry,pllc located?

Sprout Pediatric Dentistry,pllc is located at 7800 W Ustick Rd, Boise, ID 83704. The listed phone number is (208) 576-6791.

What is Sprout Pediatric Dentistry,pllc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Sprout Pediatric Dentistry,pllc was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.