BOISE CENTER FOR COSMETIC DENTISTRY
NPI 1922161272
Dentist - General Practice in Boise, ID

Active since December 18, 2006
5360 N EAGLE ROAD SUITE 101, BOISE, ID 83713(208) 939-7620(208) 939-7640 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Boise Center For Cosmetic Dentistry NPPES

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

BOISE CENTER FOR COSMETIC DENTISTRY (NPI 1922161272), doing business as Cynthia A Mckim Dmd, is a healthcare organization registered as a general practice in Boise, Idaho and active in the NPI registry since December 2006. The organization lists Cynthia A Mckim, Practice Owner, as its authorized official.

NPPES Registry Identity

NPI1922161272
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBOISE CENTER FOR COSMETIC DENTISTRY
Location Address5360 N EAGLE ROAD SUITE 101Boise, ID 83713
Mailing Address5360 N Eagle Road Suite 101Boise, ID 83713 · (208) 939-7620 · Fax (208) 939-7640
Fax(208) 939-7640
Organization SubpartNo
Authorized OfficialCynthia A MckimPractice Owner · (208) 939-7620
Enumeration DateDecember 18, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1922161272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in ID · 3229
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.

5360 N EAGLE ROAD SUITE 101, Boise, ID 83713

Other Names 1

Former Legal Business NameCynthia A Mckim Dmd

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922161272, enumerated as an "organization" on December 18, 2006.

The provider is located at 5360 N EAGLE ROAD SUITE 101 BOISE, ID 83713 and the phone number is (208) 939-7620.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.