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BOCA DENTAL PREMIER
NPI 1306721931
Clinic/Center - Dental in South Lake Tahoe, CA

Active since August 11, 2025
2018 LAKE TAHOE BLVD, SOUTH LAKE TAHOE, CA 96150(702) 703-1590 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 5, 2025, Aug 11, 2025 (2 updates tracked since 2025).

About Boca Dental Premier NPPES

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

BOCA DENTAL PREMIER (NPI 1306721931) is a healthcare organization registered as a dental in South Lake Tahoe, California and active in the NPI registry since August 2025. The organization lists Mary Wilcox, Director Of Billing, as its authorized official.

NPPES Registry Identity

NPI1306721931
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBOCA DENTAL PREMIER
Location Address2018 LAKE TAHOE BLVDSouth Lake Tahoe, CA 96150-6402
Mailing Address8989 W Flamingo RdLas Vegas, NV 89147-0431 · (702) 703-1590
Phone(702) 703-1590
Organization SubpartNo
Authorized OfficialMary WilcoxDirector Of Billing · (702) 703-1590
Enumeration DateAugust 11, 2025
Last NPPES UpdateSeptember 5, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2025
✔ NPI 1306721931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2018 LAKE TAHOE BLVD, South Lake Tahoe, CA 96150
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Other Providers at the Same Location NPPES

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

ILIA GARCIA SIPPEL DDS
Dentist
2018 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (775) 237-2491

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 Boca Dental Premier's NPI number?

The NPI number for Boca Dental Premier is 1306721931. It was assigned to this organization in the NPPES registry on August 11, 2025.

Where is Boca Dental Premier located?

Boca Dental Premier is located at 2018 Lake Tahoe Blvd, South Lake Tahoe, CA 96150. The listed phone number is (702) 703-1590.

What is Boca Dental Premier'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 Boca Dental Premier was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.