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MALLARD FAMILY DENTAL CENTER, PLLC
NPI 1740375591
Dentist - General Practice in Boise, ID

Active since October 04, 2006
144 E MALLARD DR, BOISE, ID 83706(208) 342-0315 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mallard Family Dental Center, Pllc NPPES

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

MALLARD FAMILY DENTAL CENTER, PLLC (NPI 1740375591) is a healthcare organization registered as a general practice in Boise, Idaho and active in the NPI registry since October 2006. The organization lists James A. Gorczyca, Owner, as its authorized official.

NPPES Registry Identity

NPI1740375591
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMALLARD FAMILY DENTAL CENTER, PLLC
Location Address144 E MALLARD DRBoise, ID 83706-3975
Mailing Address144 E Mallard DrBoise, ID 83706-3975 · (208) 342-0315
Phone(208) 342-0315
Organization SubpartNo
Authorized OfficialJames A. GorczycaOwner · (208) 342-0315
Enumeration DateOctober 4, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1740375591 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 · D1672
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.
144 E MALLARD DR, Boise, ID 83706
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Other Identifiers 4

Other6E755ID · Federal Employee Provider
Other66688ID · Blue Cross
Other00001 0135725ID · Regence Blue Shild
Other6E730ID · Federal Employee Provider

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 3

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

JAMES A GORCZYCA D.D.S.
Dentist
144 E MALLARD DR
BOISE, ID 83706
Ada County (208) 342-0315
JAMES A. GORCZYCA DDS PA
Dentist (General Practice)
144 E MALLARD DR
BOISE, ID 83706
Ada County (208) 342-0315
TIMOTHY C. PAVENTY DMD, LLC
Dentist (General Practice)
144 E MALLARD DR
BOISE, ID 83706
Ada County (208) 342-0873

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 Mallard Family Dental Center, PLLC's NPI number?

The NPI number for Mallard Family Dental Center, PLLC is 1740375591. It was assigned to this organization in the NPPES registry on October 4, 2006.

Where is Mallard Family Dental Center, PLLC located?

Mallard Family Dental Center, PLLC is located at 144 E Mallard Dr, Boise, ID 83706. The listed phone number is (208) 342-0315.

What is Mallard Family Dental Center, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Mallard Family Dental Center, PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.