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BOISE CHILDREN'S DENTISTRY PLLC
NPI 1700503133
Dentist - Pediatric Dentistry in Boise, ID

Active since October 26, 2022
136 E MALLARD DR, BOISE, ID 83706(208) 500-5437(208) 908-6178 Get Directions Write a Review

NPPES record last updated: October 26, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Boise Children's Dentistry Pllc NPPES

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

BOISE CHILDREN'S DENTISTRY PLLC (NPI 1700503133), doing business as Dr. Alexis Phillips Kids Dentist, is a healthcare organization registered as a pediatric dentistry in Boise, Idaho and active in the NPI registry since October 2022. The organization lists Alexis Phillips Lyall, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1700503133
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameBOISE CHILDREN'S DENTISTRY PLLC
Location Address136 E MALLARD DRBoise, ID 83706-3975
Mailing Address136 E Mallard DrBoise, ID 83706-3975 · (208) 500-5437 · Fax (208) 908-6178
Phone(208) 500-5437
Fax(208) 908-6178
Organization SubpartNo
Authorized OfficialAlexis Phillips LyallOwner Dentist · (208) 500-5437
Enumeration DateOctober 26, 2022
NPPES CertifiedOctober 26, 2022
✔ NPI 1700503133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedClinic/Center · DentalTaxonomy 261QD0000X
136 E MALLARD DR, Boise, ID 83706
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Other Names 1

Doing Business AsDr. Alexis Phillips Kids Dentist

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.

JOHN T KALANGE D.D.S., M.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
136 E MALLARD DR
BOISE, ID 83706
Ada County (208) 342-0212
ALEXIS PHILLIPS D.M.D.
Dentist (Pediatric Dentistry)
136 E MALLARD DR
BOISE, ID 83706
Ada County (208) 500-5437

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 Children's Dentistry PLLC's NPI number?

The NPI number for Boise Children's Dentistry PLLC is 1700503133. It was assigned to this organization in the NPPES registry on October 26, 2022. The provider is doing business as Dr. Alexis Phillips Kids Dentist.

Where is Boise Children's Dentistry PLLC located?

Boise Children's Dentistry PLLC is located at 136 E Mallard Dr, Boise, ID 83706. The listed phone number is (208) 500-5437.

What is Boise Children's Dentistry PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Boise Children's Dentistry PLLC was last updated on October 26, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.