BROOKDALE DENTAL, PA
NPI 1497926521
Dentist - General Practice in Boise, ID

Active since March 17, 2008
13219 W PERSIMMON LN, BOISE, ID 83713(208) 373-0018(208) 378-9676 Get Directions Write a Review

NPPES record last updated: March 17, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brookdale Dental, Pa NPPES

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

BROOKDALE DENTAL, PA (NPI 1497926521) is a healthcare organization registered as a general practice in Boise, Idaho and active in the NPI registry since March 2008. The organization lists Robert Eric Barney, Owner, as its authorized official.

NPPES Registry Identity

NPI1497926521
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBROOKDALE DENTAL, PA
Location Address13219 W PERSIMMON LNBoise, ID 83713-1986
Mailing Address13219 W Persimmon LnBoise, ID 83713-1986 · (208) 373-0018 · Fax (208) 378-9676
Fax(208) 378-9676
Organization SubpartNo
Authorized OfficialRobert Eric BarneyOwner · (208) 373-0018
Enumeration DateMarch 17, 2008
NPI 1497926521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.

13219 W PERSIMMON LN, Boise, ID 83713

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 2

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

Dentist
13219 W PERSIMMON LN
BOISE, ID 83713
Dentist (General Practice)
13219 W PERSIMMON LN
BOISE, ID 83713

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 Brookdale Dental, PA's NPI number?

The NPI number for Brookdale Dental, PA is 1497926521. It was assigned to this organization in the NPPES registry on March 17, 2008.

Where is Brookdale Dental, PA located?

Brookdale Dental, PA is located at 13219 W Persimmon Ln, Boise, ID 83713. The listed phone number is (208) 373-0018.

What is Brookdale Dental, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Brookdale Dental, PA was last updated on March 17, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.