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PERIODONTAL HEALTH SPECIALISTS OF IDAHO
NPI 1689077026
Dentist - Periodontics in Boise, ID

Active since September 30, 2014
140 E BOISE AVE, BOISE, ID 83706(208) 385-9228(208) 385-9292 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Periodontal Health Specialists Of Idaho NPPES

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

PERIODONTAL HEALTH SPECIALISTS OF IDAHO (NPI 1689077026), doing business as Florence And Lincks And Associates, is a healthcare organization registered as a periodontics in Boise, Idaho and active in the NPI registry since September 2014. The organization lists Randy S Demetter, Owner/partner, as its authorized official.

NPPES Registry Identity

NPI1689077026
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NamePERIODONTAL HEALTH SPECIALISTS OF IDAHO
Location Address140 E BOISE AVEBoise, ID 83706
Mailing Address140 E Boise AveBoise, ID 83706 · (208) 385-9228 · Fax (208) 385-9292
Phone(208) 385-9228
Fax(208) 385-9292
Organization SubpartNo
Authorized OfficialRandy S DemetterOwner/partner · (208) 385-9228
Enumeration DateSeptember 30, 2014
Last NPPES UpdateMay 8, 2023
NPPES CertifiedMay 8, 2023
✔ NPI 1689077026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

140 E BOISE AVE, Boise, ID 83706
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Other Names 1

Former Legal Business NameFlorence And Lincks And Associates

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 6

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

RANDY DEMETTER DDS
Dentist (Periodontics)
140 E BOISE AVE
BOISE, ID 83706
Ada County (208) 385-9228
DR. JACK H LINCKS DDS, MS
Dentist (Periodontics)
140 E BOISE AVE
BOISE, ID 83706
Ada County (208) 385-9228
DR. STEPHEN A. MORRIS D.D.S. M.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
140 E BOISE AVE, SUITE B
BOISE, ID 83706
Ada County (208) 344-4334
DR. JOHN HOWELL MUMFORD D.M.D.
Dentist (Periodontics)
140 E BOISE AVE
BOISE, ID 83706
Ada County (208) 385-9228
STEPHEN A. MORRIS
Dentist (Orthodontics and Dentofacial Orthopedics)
140 E BOISE AVE, SUITE B
BOISE, ID 83706
Ada County (208) 344-4334
KEATON NICHOLSON
Student in an Organized Health Care Education/Training Program
140 E BOISE AVE
BOISE, ID 83706
Ada County (208) 385-9228

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 Periodontal Health Specialists Of Idaho's NPI number?

The NPI number for Periodontal Health Specialists Of Idaho is 1689077026. It was assigned to this organization in the NPPES registry on September 30, 2014. The provider was formerly known as Florence And Lincks And Associates.

Where is Periodontal Health Specialists Of Idaho located?

Periodontal Health Specialists Of Idaho is located at 140 E Boise Ave, Boise, ID 83706. The listed phone number is (208) 385-9228.

What is Periodontal Health Specialists Of Idaho's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Periodontal Health Specialists Of Idaho was last updated on May 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.