COPPERSTONE DENTAL
NPI 1417285354
Dentist - General Practice in Boise, ID

Active since December 04, 2009
12426 W EXPLORER DR, STE 210, BOISE, ID 83713(208) 376-5499(208) 376-5527 Get Directions Write a Review

NPPES record last updated: December 4, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Copperstone Dental NPPES

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

COPPERSTONE DENTAL (NPI 1417285354) is a healthcare organization registered as a general practice in Boise, Idaho and active in the NPI registry since December 2009. The organization lists Linda Sterling, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1417285354
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMATTHEW TUFT DENTAL LLC
Location Address12426 W EXPLORER DR, STE 210Boise, ID 83713-1572
Mailing Address12426 W Explorer Dr, Ste 210Boise, ID 83713-1572 · (208) 376-5499 · Fax (208) 376-5527
Fax(208) 376-5527
Organization SubpartNo
Authorized OfficialLinda SterlingOffice Manager · (208) 376-5499
Enumeration DateDecember 4, 2009
NPI 1417285354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in ID · D4053
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

12426 W EXPLORER DR, Boise, ID 83713

Other Names 1

Doing Business AsCopperstone Dental

Other Identifiers 1

Medicaid807788800ID

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

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
12426 W EXPLORER DR, SUITE 210
BOISE, ID 83713

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417285354, enumerated as an "organization" on December 04, 2009.

The provider is located at 12426 W EXPLORER DR STE 210 BOISE, ID 83713 and the phone number is (208) 376-5499.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.