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BOISE PREMIER DENTISTRY
NPI 1689258758
Dentist in Boise, ID

Active since May 05, 2021
3809 W STATE ST, BOISE, ID 83703(208) 551-5155 Get Directions Write a Review

NPPES record last updated: May 5, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Boise Premier Dentistry NPPES

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

BOISE PREMIER DENTISTRY (NPI 1689258758) is a healthcare organization registered as a dentist in Boise, Idaho and active in the NPI registry since May 2021. The organization lists Maryam Moghaddasian, Owner, as its authorized official.

NPPES Registry Identity

NPI1689258758
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameBOISE PREMIER DENTISTRY
Location Address3809 W STATE STBoise, ID 83703-5221
Mailing Address3809 W State StBoise, ID 83703-5221 · (208) 551-5155
Phone(208) 551-5155
Organization SubpartNo
Authorized OfficialMaryam MoghaddasianOwner · (208) 794-6391
Enumeration DateMay 5, 2021
NPPES CertifiedMay 5, 2021
✔ NPI 1689258758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

3809 W STATE ST, Boise, ID 83703
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Other Names 1

Doing Business AsBoise Premier Dentistry

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 Boise Premier Dentistry's NPI number?

The NPI number for Boise Premier Dentistry is 1689258758. It was assigned to this organization in the NPPES registry on May 5, 2021.

Where is Boise Premier Dentistry located?

Boise Premier Dentistry is located at 3809 W State St, Boise, ID 83703. The listed phone number is (208) 551-5155.

What is Boise Premier Dentistry's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Boise Premier Dentistry was last updated on May 5, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.