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MALYNN RATTANASAMAY DDS
NPI 1740620731
Dentist - Pediatric Dentistry in Boise, ID

Active since July 05, 2013
7800 W USTICK RD, BOISE, ID 83704(208) 576-6791 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 13, 2024, Aug 11, 2016 (2 updates tracked since 2016).

About Malynn Rattanasamay Dds NPPES

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

MALYNN RATTANASAMAY DDS (NPI 1740620731) is an individual pediatric dentistry provider in Boise, Idaho, licensed in Idaho (D-5505-PD) and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1740620731
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameMALYNN RATTANASAMAYCredential: DDS
Location Address7800 W USTICK RDBoise, ID 83704-5848
Mailing Address7800 W Ustick RdBoise, ID 83704-5848 · (208) 576-6791
Phone(208) 576-6791
Sole ProprietorNo
Enumeration DateJuly 5, 2013
Last NPPES UpdateMay 13, 20242 updates tracked since enumeration
NPPES CertifiedMay 13, 2024
✔ NPI 1740620731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in ID · D-5505-PD
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 ListedDentist · General PracticeTaxonomy 1223G0001X · License D-5505 (ID), 7130 (WI)
7800 W USTICK RD, Boise, ID 83704
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Other Identifiers 1

Medicaid1740620731WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.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.

SPROUT PEDIATRIC DENTISTRY,PLLC
Dentist (Pediatric Dentistry)
7800 W USTICK RD
BOISE, ID 83704
Ada County (208) 576-6791

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 Malynn Rattanasamay's NPI number?

The NPI number for Malynn Rattanasamay is 1740620731. It was assigned to this individual provider in the NPPES registry on July 5, 2013.

Where is Malynn Rattanasamay located?

Malynn Rattanasamay practices at 7800 W Ustick Rd, Boise, ID 83704. The listed phone number is (208) 576-6791.

What is Malynn Rattanasamay's specialty?

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

What insurance does Malynn Rattanasamay accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Malynn Rattanasamay as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Malynn Rattanasamay was last updated on May 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.