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TIMOTHY C. PAVENTY DMD, LLC
NPI 1649696741
Dentist - General Practice in Boise, ID

Active since March 13, 2014
144 E MALLARD DR, BOISE, ID 83706(208) 342-0873 Get Directions Write a Review

NPPES record last updated: March 13, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Timothy C. Paventy Dmd, Llc NPPES

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

TIMOTHY C. PAVENTY DMD, LLC (NPI 1649696741) is a healthcare organization registered as a general practice in Boise, Idaho and active in the NPI registry since March 2014. The organization lists Timothy C Paventy, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1649696741
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTIMOTHY C. PAVENTY DMD, LLC
Location Address144 E MALLARD DRBoise, ID 83706-3975
Mailing Address144 E Mallard DrBoise, ID 83706-3975
Phone(208) 342-0873
Organization SubpartNo
Authorized OfficialTimothy C PaventyOwner/dentist · (208) 342-0315
Enumeration DateMarch 13, 2014
✔ NPI 1649696741 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 · D-4286
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.
144 E MALLARD DR, Boise, ID 83706
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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

Other Providers at the Same Location NPPES 3

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

JAMES A GORCZYCA D.D.S.
Dentist
144 E MALLARD DR
BOISE, ID 83706
Ada County (208) 342-0315
JAMES A. GORCZYCA DDS PA
Dentist (General Practice)
144 E MALLARD DR
BOISE, ID 83706
Ada County (208) 342-0315
MALLARD FAMILY DENTAL CENTER, PLLC
Dentist (General Practice)
144 E MALLARD DR
BOISE, ID 83706
Ada County (208) 342-0315

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 Timothy C. Paventy Dmd, LLC's NPI number?

The NPI number for Timothy C. Paventy Dmd, LLC is 1649696741. It was assigned to this organization in the NPPES registry on March 13, 2014.

Where is Timothy C. Paventy Dmd, LLC located?

Timothy C. Paventy Dmd, LLC is located at 144 E Mallard Dr, Boise, ID 83706. The listed phone number is (208) 342-0873.

What is Timothy C. Paventy Dmd, LLC'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 Timothy C. Paventy Dmd, LLC was last updated on March 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.