IDAHO STATE UNIVERSITY
NPI 1912110164
Dentist in Boise, ID

Q: What is Idaho State University's NPI number?

The NPI number for Idaho State University is 1912110164. It was assigned to this organization in the NPPES registry on May 7, 2007.

Q: What is Idaho State University's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since May 07, 2007

2033 E SUMMERSWEET DR, BOISE, ID 83716(208) 331-0182(208) 331-0184 Get Directions Write a Review

NPPES record last updated: June 24, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Idaho State University NPPES

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

IDAHO STATE UNIVERSITY (NPI 1912110164) is a healthcare organization registered as a dentist in Boise, Idaho and active in the NPI registry since May 2007. The organization lists Tina M Freeman, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1912110164

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameIDAHO STATE UNIVERSITY

Location Address2033 E SUMMERSWEET DRBoise, ID 83716-6695

Mailing Address2033 E Summersweet DrBoise, ID 83716-6695 · (208) 331-0182 · Fax (208) 331-0184

Phone(208) 331-0182

Fax(208) 331-0184

Organization SubpartNo

Authorized OfficialTina M FreemanOffice Manager · (208) 331-0182

Enumeration DateMay 7, 2007

Last NPPES UpdateJune 24, 2008

✔ NPI 1912110164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in ID · D-1819

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2033 E SUMMERSWEET DR, Boise, ID 83716

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Other Identifiers 1

Medicaid807200600ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HEIDI BROWNE DDS

Dentist