RIVERVIEW DENTAL SOUTH PLLC
NPI 1780413112
Dentist - General Practice in Boise, ID

Active since August 01, 2024
1331 S FIVE MILE RD, BOISE, ID 83709(208) 375-3754(208) 375-3758 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Riverview Dental South Pllc NPPES

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

RIVERVIEW DENTAL SOUTH PLLC (NPI 1780413112) is a healthcare organization registered as a general practice in Boise, Idaho and active in the NPI registry since August 2024. The organization lists Erin Colleen Shea, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1780413112
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameRIVERVIEW DENTAL SOUTH PLLC
Location Address1331 S FIVE MILE RDBoise, ID 83709
Mailing Address1331 S Five Mile RdBoise, ID 83709 · (208) 375-3754 · Fax (208) 375-3758
Fax(208) 375-3758
Organization SubpartYesParent: Riverview Dental Pllc
Authorized OfficialErin Colleen SheaOffice Manager · (208) 375-3754
Enumeration DateAugust 1, 2024
NPI 1780413112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
1331 S FIVE MILE RD, Boise, ID 83709

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

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 Riverview Dental South PLLC's NPI number?

The NPI number for Riverview Dental South PLLC is 1780413112. It was assigned to this organization in the NPPES registry on August 1, 2024.

Where is Riverview Dental South PLLC located?

Riverview Dental South PLLC is located at 1331 S Five Mile Rd, Boise, ID 83709. The listed phone number is (208) 375-3754.

What is Riverview Dental South 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 Riverview Dental South PLLC was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.