DR. OMID GILANI DDS
NPI 1710464219
Dentist - General Practice in Meridian, ID

Active since July 26, 2018
1558 N CRESTMONT DR STE A, MERIDIAN, ID 83642(208) 519-3474 Get Directions Write a Review

NPPES record last updated: April 23, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 23, 2019, Aug 22, 2018, Jul 26, 2018 (3 updates tracked since 2018).

About Dr. Omid Gilani Dds NPPES

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

DR. OMID GILANI DDS (NPI 1710464219) is an individual general practice provider in Meridian, Idaho, licensed in Idaho (D-4955) and active in the NPI registry since July 2018. He maintains a secondary practice location in Boise.

NPPES Registry Identity

NPI1710464219
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. OMID GILANICredential: DDS
Location Address1558 N CRESTMONT DR STE AMeridian, ID 83642
Mailing Address1558 N Crestmont Dr Ste AMeridian, ID 83642-2194 · (208) 519-3474
Sole ProprietorNo
Enumeration DateJuly 26, 2018
Last NPPES UpdateApril 23, 20193 updates tracked since enumeration
NPI 1710464219 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-4955
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.

1558 N CRESTMONT DR STE A, Meridian, ID 83642

Secondary Practice Location 1

Location 18321 W Overland RdBoise, ID 83709-1640 · Phone (208) 985-2796

Other Identifiers 1

Medicaid1902325749ID

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist (Pediatric Dentistry)
1558 N CRESTMONT DR STE A
MERIDIAN, ID 83642

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710464219, enumerated as an "individual" on July 26, 2018.

The provider is located at 1558 N CRESTMONT DR STE A MERIDIAN, ID 83642 and the phone number is (208) 519-3474.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.