DOWNTOWN DENTAL PLLC
NPI 1407361769
Clinic/Center - Dental in Boise, ID

Active since December 08, 2017
1625 W BANNOCK ST, BOISE, ID 83702(208) 342-5444 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2023, Dec 8, 2017 (2 updates tracked since 2017).

About Downtown Dental Pllc NPPES

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

DOWNTOWN DENTAL PLLC (NPI 1407361769) is a healthcare organization registered as a dental in Boise, Idaho and active in the NPI registry since December 2017. The organization lists Ryan Kowalczyk, Dentist, as its authorized official.

NPPES Registry Identity

NPI1407361769
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameDOWNTOWN DENTAL PLLC
Location Address1625 W BANNOCK STBoise, ID 83702-5155
Mailing Address1625 W Bannock StBoise, ID 83702-5155 · (208) 342-5444
Organization SubpartNo
Authorized OfficialRyan KowalczykDentist · (208) 342-5444
Enumeration DateDecember 8, 2017
Last NPPES UpdateDecember 6, 20232 updates tracked since enumeration
NPPES CertifiedDecember 6, 2023
NPI 1407361769 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 · D-3689
1625 W BANNOCK ST, Boise, ID 83702

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
1625 W BANNOCK ST
BOISE, ID 83702
Dentist (General Practice)
1625 W BANNOCK ST
BOISE, ID 83702

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 Downtown Dental PLLC's NPI number?

The NPI number for Downtown Dental PLLC is 1407361769. It was assigned to this organization in the NPPES registry on December 8, 2017.

Where is Downtown Dental PLLC located?

Downtown Dental PLLC is located at 1625 W Bannock St, Boise, ID 83702. The listed phone number is (208) 342-5444.

What is Downtown Dental PLLC'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 Downtown Dental PLLC was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.