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MODERN DENTAL
NPI 1366601734
Dentist in Boise, ID

Active since June 02, 2008
2031 E HOSPITALITY LN, SUITE 100, BOISE, ID 83716(208) 333-9999(208) 343-5889 Get Directions Write a Review

NPPES record last updated: September 6, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Modern Dental NPPES

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

MODERN DENTAL (NPI 1366601734) is a healthcare organization registered as a dentist in Boise, Idaho and active in the NPI registry since June 2008. The organization lists Michelle D Ryan, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1366601734
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameTMD PLLC
Location Address2031 E HOSPITALITY LN, SUITE 100Boise, ID 83716-6603
Mailing Address2031 E Hospitality Ln, Suite 100Boise, ID 83716-6603 · (208) 333-9999 · Fax (208) 343-5889
Phone(208) 333-9999
Fax(208) 343-5889
Organization SubpartNo
Authorized OfficialMichelle D RyanOffice Manager · (208) 333-9999
Enumeration DateJune 2, 2008
Last NPPES UpdateSeptember 6, 2011
✔ NPI 1366601734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in ID · D3273
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.
2031 E HOSPITALITY LN, Boise, ID 83716
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Other Names 1

Other NameModern Dental

Other Identifiers 1

Medicare NSC6550500001ID

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Tmd PLLC's NPI number?

The NPI number for Tmd PLLC is 1366601734. It was assigned to this organization in the NPPES registry on June 2, 2008. The provider is also known as Modern Dental.

Where is Tmd PLLC located?

Tmd PLLC is located at 2031 E Hospitality Ln Suite 100, Boise, ID 83716. The listed phone number is (208) 333-9999.

What is Tmd 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 Tmd PLLC was last updated on September 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.