EAST BOISE DENTAL
NPI 1194010272
Dentist in Boise, ID

Active since June 16, 2011
150 E BOISE AVE, BOISE, ID 83706(208) 368-0500 Get Directions Write a Review

NPPES record last updated: June 16, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About East Boise Dental NPPES

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

EAST BOISE DENTAL (NPI 1194010272) is a healthcare organization registered as a dentist in Boise, Idaho and active in the NPI registry since June 2011. The organization lists Todd Broyles, Owner, as its authorized official.

NPPES Registry Identity

NPI1194010272
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameEAST BOISE DENTAL
Location Address150 E BOISE AVEBoise, ID 83706-4379
Mailing Address150 E Boise AveBoise, ID 83706-4379 · (208) 368-0500
Organization SubpartNo
Authorized OfficialTodd BroylesOwner · (208) 368-0500
Enumeration DateJune 16, 2011
NPI 1194010272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in ID · D4068
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
150 E BOISE AVE, Boise, ID 83706

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

Accepted Insurance

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)
150 E BOISE AVE
BOISE, ID 83706
Dentist (General Practice)
150 E BOISE AVE
BOISE, ID 83706
Dentist (General Practice)
150 E BOISE AVE
BOISE, ID 83706
Dentist
150 E BOISE AVE
BOISE, ID 83706
Dentist
150 E BOISE AVE
BOISE, ID 83706

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 East Boise Dental's NPI number?

The NPI number for East Boise Dental is 1194010272. It was assigned to this organization in the NPPES registry on June 16, 2011.

Where is East Boise Dental located?

East Boise Dental is located at 150 E Boise Ave, Boise, ID 83706. The listed phone number is (208) 368-0500.

What is East Boise Dental's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does East Boise Dental accept?

Health plans from UnitedHealthcare list East Boise Dental as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for East Boise Dental was last updated on June 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.