SOUTHWEST DENTAL ASSOCIATES
NPI 1124346499
Dentist - General Practice in Boise, ID

Active since May 12, 2010
1201 S FIVE MILE RD, BOISE, ID 83709(208) 322-5655(208) 323-8160 Get Directions Write a Review

NPPES record last updated: May 12, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southwest Dental Associates NPPES

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

SOUTHWEST DENTAL ASSOCIATES (NPI 1124346499) is a healthcare organization registered as a general practice in Boise, Idaho and active in the NPI registry since May 2010. The organization lists Jeffrey Tuller, Dentist, as its authorized official.

NPPES Registry Identity

NPI1124346499
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSOUTHWEST DENTAL ASSOCIATES
Location Address1201 S FIVE MILE RDBoise, ID 83709-1304
Mailing Address1201 S Five Mile RdBoise, ID 83709-1304 · (208) 322-5655 · Fax (208) 323-8160
Fax(208) 323-8160
Organization SubpartNo
Authorized OfficialJeffrey TullerDentist · (208) 322-5655
Enumeration DateMay 12, 2010
NPI 1124346499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in ID · D2065
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.

1201 S FIVE MILE RD, Boise, ID 83709

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 5

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

Dentist (General Practice)
1201 S FIVE MILE RD
BOISE, ID 83709
Dentist (General Practice)
1201 S FIVE MILE RD
BOISE, ID 83709
Clinic/Center (Dental)
1201 S FIVE MILE RD
BOISE, ID 83709
Dentist (General Practice)
1201 S FIVE MILE RD
BOISE, ID 83709
Dental Hygienist
1201 S FIVE MILE RD
BOISE, ID 83709

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 Southwest Dental Associates's NPI number?

The NPI number for Southwest Dental Associates is 1124346499. It was assigned to this organization in the NPPES registry on May 12, 2010.

Where is Southwest Dental Associates located?

Southwest Dental Associates is located at 1201 S Five Mile Rd, Boise, ID 83709. The listed phone number is (208) 322-5655.

What is Southwest Dental Associates'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 Southwest Dental Associates was last updated on May 12, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.