NORTH END DENTAL, PLLC
NPI 1902916018
Dentist - General Practice in Boise, ID

Q: What is North End Dental PLLC's NPI number?

The NPI number for North End Dental PLLC is 1902916018. It was assigned to this organization in the NPPES registry on August 30, 2006. The provider is also known as North End Dental, PLLC.

Q: What is North End Dental PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since August 30, 2006

704 N 17TH STREET, BOISE, ID 83702(208) 344-0134(208) 388-3990 Get Directions Write a Review

NPPES record last updated: December 11, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About North End Dental, Pllc NPPES

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

NORTH END DENTAL, PLLC (NPI 1902916018) is a healthcare organization registered as a general practice in Boise, Idaho and active in the NPI registry since August 2006. The organization lists Dorothy Ann Mattefs, Off Mgr, as its authorized official.

NPPES Registry Identity

NPI1902916018

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameNORTH END DENTAL PLLC

Location Address704 N 17TH STREETBoise, ID 83702

Mailing Address704 N 17th StreetBoise, ID 83702 · (208) 344-0134 · Fax (208) 388-3990

Phone(208) 344-0134

Fax(208) 388-3990

Organization SubpartNo

Authorized OfficialDorothy Ann MattefsOff Mgr · (208) 344-0134

Enumeration DateAugust 30, 2006

Last NPPES UpdateDecember 11, 2009

✔ NPI 1902916018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in ID · D-1933✔ Licensed in ID · D1933✔ Licensed in ID · D4007✔ Licensed in ID · D-3957

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.

704 N 17TH STREET, Boise, ID 83702

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Other Names 1

Other NameNorth End Dental, Pllc

Other Identifiers 3

Medicaid000998900ID

Other69948ID · Blue Cross

Medicaid807523400ID

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

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. ANDREW BETH CHRISMAN DDS

Dentist (General Practice)

704 N 17TH STREET
BOISE, ID 83702

Ada County (208) 344-0134

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 North End Dental PLLC's NPI number?

The NPI number for North End Dental PLLC is 1902916018. It was assigned to this organization in the NPPES registry on August 30, 2006. The provider is also known as North End Dental, PLLC.

Where is North End Dental PLLC located?

North End Dental PLLC is located at 704 N 17th Street, Boise, ID 83702. The listed phone number is (208) 344-0134.

What is North End Dental 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 North End Dental PLLC was last updated on December 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.