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DR. LAURA BREANNA VIDETICH DDS
NPI 1902381247
Dentist - Pediatric Dentistry in Boise, ID

Active since October 02, 2018
651 E PARKCENTER BLVD, BOISE, ID 83706(208) 384-9872 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 18, 2025, Oct 2, 2018 (2 updates tracked since 2018).

About Dr. Laura Breanna Videtich Dds NPPES

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

DR. LAURA BREANNA VIDETICH DDS (NPI 1902381247) is an individual pediatric dentistry provider in Boise, Idaho, licensed in Idaho (D-PD-5274) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1902381247
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. LAURA BREANNA VIDETICHCredential: DDS
Location Address651 E PARKCENTER BLVDBoise, ID 83706-6575
Mailing Address651 E Parkcenter BlvdBoise, ID 83706-6575 · (208) 384-9872
Phone(208) 384-9872
Sole ProprietorNo
Enumeration DateOctober 2, 2018
Last NPPES UpdateSeptember 18, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2025
✔ NPI 1902381247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in ID · D-PD-5274
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.
651 E PARKCENTER BLVD, Boise, ID 83706
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Accepted Insurance

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

DR. JEFFREY K DAVIS DDS
Dentist (Pediatric Dentistry)
651 E PARKCENTER BLVD
BOISE, ID 83706
Ada County (208) 384-9872

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 Laura Videtich's NPI number?

The NPI number for Laura Videtich is 1902381247. It was assigned to this individual provider in the NPPES registry on October 2, 2018.

Where is Laura Videtich located?

Laura Videtich practices at 651 E Parkcenter Blvd, Boise, ID 83706. The listed phone number is (208) 384-9872.

What is Laura Videtich's specialty?

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

What insurance does Laura Videtich accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 2 other insurers list Laura Videtich 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 Laura Videtich was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.