1. Home
  2. Directory
  3. Idaho
  4. Boise
  5. Dentist
  6. NPI Profile

IDAHO FAMILY DENTAL PLLC
NPI 1356021489
Dentist in Boise, ID

Active since July 24, 2023
9203 W. OVERLAND RD., BOISE, ID 83709(208) 375-1012(208) 375-1098 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Idaho Family Dental Pllc NPPES

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

IDAHO FAMILY DENTAL PLLC (NPI 1356021489) is a healthcare organization registered as a dentist in Boise, Idaho and active in the NPI registry since July 2023. The organization lists Anna Budolfson, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1356021489
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameIDAHO FAMILY DENTAL PLLC
Location Address9203 W. OVERLAND RD.Boise, ID 83709
Mailing Address9203 W. Overland Rd.Boise, ID 83709 · (208) 375-1012 · Fax (208) 375-1098
Phone(208) 375-1012
Fax(208) 375-1098
Organization SubpartNo
Authorized OfficialAnna BudolfsonDentist/owner · (208) 375-1012
Enumeration DateJuly 24, 2023
NPPES CertifiedJuly 24, 2023
✔ NPI 1356021489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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.
9203 W. OVERLAND RD., Boise, ID 83709
Open in Google Maps ↗

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

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 Idaho Family Dental PLLC's NPI number?

The NPI number for Idaho Family Dental PLLC is 1356021489. It was assigned to this organization in the NPPES registry on July 24, 2023.

Where is Idaho Family Dental PLLC located?

Idaho Family Dental PLLC is located at 9203 W. Overland Rd., Boise, ID 83709. The listed phone number is (208) 375-1012.

What is Idaho Family Dental PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Idaho Family Dental PLLC was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.