BOISE TOOTHTOWN DENTISTRY FOR KIDS PLLC
NPI 1780037705
Dentist - Pediatric Dentistry in Boise, ID

Active since July 14, 2016
13014 W PERSIMMON LN, BOISE, ID 83713(208) 377-2072(208) 376-7580 Get Directions Write a Review

NPPES record last updated: July 14, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Boise Toothtown Dentistry For Kids Pllc NPPES

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

BOISE TOOTHTOWN DENTISTRY FOR KIDS PLLC (NPI 1780037705) is a healthcare organization registered as a pediatric dentistry in Boise, Idaho and active in the NPI registry since July 2016. The organization lists Dennis Garth Stoddard, Owner, as its authorized official.

NPPES Registry Identity

NPI1780037705
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameBOISE TOOTHTOWN DENTISTRY FOR KIDS PLLC
Location Address13014 W PERSIMMON LNBoise, ID 83713-1986
Mailing Address13014 W Persimmon LnBoise, ID 83713-1986 · (208) 377-2072 · Fax (208) 376-7580
Fax(208) 376-7580
Organization SubpartNo
Authorized OfficialDennis Garth StoddardOwner · (208) 453-6188
Enumeration DateJuly 14, 2016
NPI 1780037705 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 · D4186PD
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 D4031 (ID)
13014 W PERSIMMON LN, Boise, ID 83713

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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.

Dentist (General Practice)
13014 W PERSIMMON LN
BOISE, ID 83713
Dentist (Pediatric Dentistry)
13014 W PERSIMMON LN
BOISE, ID 83713
Clinic/Center (Dental)
13014 W PERSIMMON LN
BOISE, ID 83713

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 Toothtown Dentistry For Kids PLLC's NPI number?

The NPI number for Boise Toothtown Dentistry For Kids PLLC is 1780037705. It was assigned to this organization in the NPPES registry on July 14, 2016.

Where is Boise Toothtown Dentistry For Kids PLLC located?

Boise Toothtown Dentistry For Kids PLLC is located at 13014 W Persimmon Ln, Boise, ID 83713. The listed phone number is (208) 377-2072.

What is Boise Toothtown Dentistry For Kids PLLC's specialty?

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

What insurance does Boise Toothtown Dentistry For Kids PLLC accept?

Health plans from UnitedHealthcare list Boise Toothtown Dentistry For Kids PLLC 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 Boise Toothtown Dentistry For Kids PLLC was last updated on July 14, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.