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IDAHO ENDODONTICS
NPI 1710509823
Dentist - Endodontics in Boise, ID

Active since May 12, 2020
1555 S TIMESQUARE LN, BOISE, ID 83709(208) 672-8860 Get Directions Write a Review

NPPES record last updated: May 12, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Idaho Endodontics NPPES

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

IDAHO ENDODONTICS (NPI 1710509823) is a healthcare organization registered as an endodontics in Boise, Idaho and active in the NPI registry since May 2020. The organization lists Amanda Maylin, Front Office, as its authorized official.

NPPES Registry Identity

NPI1710509823
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameIDAHO ENDODONTICS
Location Address1555 S TIMESQUARE LNBoise, ID 83709-8266
Mailing Address1555 S Timesquare LnBoise, ID 83709-8266 · (208) 672-8860
Phone(208) 672-8860
Organization SubpartNo
Authorized OfficialAmanda MaylinFront Office · (208) 672-8860
Enumeration DateMay 12, 2020
NPPES CertifiedMay 12, 2020
✔ NPI 1710509823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
1555 S TIMESQUARE LN, Boise, ID 83709
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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 2

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

DR. ADAM J SHIPP DMD, MS
Dentist (Endodontics)
1555 S TIMESQUARE LN
BOISE, ID 83709
Ada County (208) 672-8860
DR. BRENT L CHAPMAN DDS
Dentist (Endodontics)
1555 S TIMESQUARE LN
BOISE, ID 83709
Ada County (208) 672-8860

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 Idaho Endodontics's NPI number?

The NPI number for Idaho Endodontics is 1710509823. It was assigned to this organization in the NPPES registry on May 12, 2020.

Where is Idaho Endodontics located?

Idaho Endodontics is located at 1555 S Timesquare Ln, Boise, ID 83709. The listed phone number is (208) 672-8860.

What is Idaho Endodontics's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Idaho Endodontics was last updated on May 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.