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DOWNTOWN DENTAL PLLC
NPI 1629237540
Dentist - General Practice in Boise, ID

Active since June 05, 2008
1625 W BANNOCK STREET, BOISE, ID 83702(208) 342-5444 Get Directions Write a Review

NPPES record last updated: June 5, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Downtown Dental Pllc NPPES

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

DOWNTOWN DENTAL PLLC (NPI 1629237540) is a healthcare organization registered as a general practice in Boise, Idaho and active in the NPI registry since June 2008. The organization lists Ryan Michael Kowalczyk, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1629237540
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDOWNTOWN DENTAL PLLC
Location Address1625 W BANNOCK STREETBoise, ID 83702-5155
Mailing Address1625 W Bannock StBoise, ID 83702-5155 · (208) 342-5444
Phone(208) 342-5444
Organization SubpartNo
Authorized OfficialRyan Michael KowalczykOwner/manager · (208) 342-5444
Enumeration DateJune 5, 2008
✔ NPI 1629237540 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 · D3689
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.
1625 W BANNOCK STREET, Boise, ID 83702
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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 Downtown Dental PLLC's NPI number?

The NPI number for Downtown Dental PLLC is 1629237540. It was assigned to this organization in the NPPES registry on June 5, 2008.

Where is Downtown Dental PLLC located?

Downtown Dental PLLC is located at 1625 W Bannock Street, 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 Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Downtown Dental PLLC was last updated on June 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.