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INTERMOUNTAIN DENTAL SPECIALISTS
NPI 1134522535
Clinic/Center - Dental in Boise, ID

Active since September 30, 2014
12249 W MCMILLAN RD, BOISE, ID 83713(208) 917-2855 Get Directions Write a Review

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

About Intermountain Dental Specialists NPPES

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

INTERMOUNTAIN DENTAL SPECIALISTS (NPI 1134522535) is a healthcare organization registered as a dental in Boise, Idaho and active in the NPI registry since September 2014. The organization lists Jerry Michael Carbone, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1134522535
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameINTERMOUNTAIN DENTAL SPECIALISTS
Location Address12249 W MCMILLAN RDBoise, ID 83713-0555
Mailing Address12249 W Mcmillan RdBoise, ID 83713-0555 · (208) 917-2855
Phone(208) 917-2855
Organization SubpartNo
Authorized OfficialJerry Michael CarboneManaging Member · (208) 917-2855
Enumeration DateSeptember 30, 2014
✔ NPI 1134522535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in ID · D3642EN
12249 W MCMILLAN RD, Boise, ID 83713
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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.

DR. JERRY MICHAEL CARBONE D.M.D.
Dentist (Endodontics)
12249 W MCMILLAN RD
BOISE, ID 83713
Ada County (208) 917-2855
SCOTT ALAN WRIGHT DDS
Dentist (General Practice)
12249 W MCMILLAN RD
BOISE, ID 83713
Ada County (208) 322-0024
KENYON L OYLER DDS
Dentist
12249 W MCMILLAN RD, CONTENNTAL DENTAL CENTER
BOISE, ID 83713
Ada County (208) 322-0024

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 Intermountain Dental Specialists's NPI number?

The NPI number for Intermountain Dental Specialists is 1134522535. It was assigned to this organization in the NPPES registry on September 30, 2014.

Where is Intermountain Dental Specialists located?

Intermountain Dental Specialists is located at 12249 W Mcmillan Rd, Boise, ID 83713. The listed phone number is (208) 917-2855.

What is Intermountain Dental Specialists's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Intermountain Dental Specialists was last updated on September 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.