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PEDIATRIC DENTISTRY ASSOCIATES
NPI 1851627467
Clinic/Center - Dental in Boise, ID

Active since November 02, 2009
13014 W PERSIMMON LN, BOISE, ID 83713(208) 377-2072 Get Directions Write a Review

NPPES record last updated: November 2, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pediatric Dentistry Associates NPPES

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

PEDIATRIC DENTISTRY ASSOCIATES (NPI 1851627467) is a healthcare organization registered as a dental in Boise, Idaho and active in the NPI registry since November 2009. The organization lists Rodman O Emory, President/pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1851627467
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePEDIATRIC DENTISTRY ASSOCIATES
Location Address13014 W PERSIMMON LNBoise, ID 83713-1986
Mailing Address13014 W Persimmon LnBoise, ID 83713-1986 · (208) 377-2072
Phone(208) 377-2072
Organization SubpartNo
Authorized OfficialRodman O EmoryPresident/pediatric Dentist · (208) 377-2072
Enumeration DateNovember 2, 2009
✔ NPI 1851627467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in ID · D-1703
13014 W PERSIMMON LN, Boise, ID 83713
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Other Identifiers 1

Medicaid002697900ID

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.

ADAM STRONG BUNKER DMD
Dentist (General Practice)
13014 W PERSIMMON LN
BOISE, ID 83713
Ada County (480) 710-6699
DR. RODMAN OWEN EMORY D.D.S.
Dentist (Pediatric Dentistry)
13014 W PERSIMMON LN
BOISE, ID 83713
Ada County (208) 377-2072
BOISE TOOTHTOWN DENTISTRY FOR KIDS PLLC
Dentist (Pediatric Dentistry)
13014 W PERSIMMON LN
BOISE, ID 83713
Ada County (208) 377-2072

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 Pediatric Dentistry Associates's NPI number?

The NPI number for Pediatric Dentistry Associates is 1851627467. It was assigned to this organization in the NPPES registry on November 2, 2009.

Where is Pediatric Dentistry Associates located?

Pediatric Dentistry Associates is located at 13014 W Persimmon Ln, Boise, ID 83713. The listed phone number is (208) 377-2072.

What is Pediatric Dentistry Associates's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Pediatric Dentistry Associates was last updated on November 2, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.