IDAHO STREET DENTAL
NPI 1962992552
Clinic/Center - Dental in Boise, ID

Active since May 18, 2018
305 W IDAHO ST, BOISE, ID 83702(208) 343-7271 Get Directions Write a Review

NPPES record last updated: May 18, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Idaho Street Dental NPPES

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

IDAHO STREET DENTAL (NPI 1962992552) is a healthcare organization registered as a dental in Boise, Idaho and active in the NPI registry since May 2018. The organization lists Justin Greg Frandsen, Owner, as its authorized official.

NPPES Registry Identity

NPI1962992552
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameFRANDSEN DENTAL
Location Address305 W IDAHO STBoise, ID 83702-6040
Mailing Address305 W Idaho StBoise, ID 83702-6040 · (208) 343-7271
Organization SubpartNo
Authorized OfficialJustin Greg FrandsenOwner · (208) 821-0781
Enumeration DateMay 18, 2018
NPI 1962992552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
Licenses Licensed in ID · D-4223 Licensed in ID · D-4838
305 W IDAHO ST, Boise, ID 83702

Other Names 1

Doing Business AsIdaho Street Dental

Other Providers at the Same Location NPPES 4

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

Dentist (General Practice)
305 W IDAHO ST
BOISE, ID 83702
Dentist
305 W IDAHO ST
BOISE, ID 83702
Dentist
305 W IDAHO ST
BOISE, ID 83702
Clinic/Center (Dental)
305 W IDAHO ST
BOISE, ID 83702

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 Frandsen Dental's NPI number?

The NPI number for Frandsen Dental is 1962992552. It was assigned to this organization in the NPPES registry on May 18, 2018. The provider is doing business as Idaho Street Dental.

Where is Frandsen Dental located?

Frandsen Dental is located at 305 W Idaho St, Boise, ID 83702. The listed phone number is (208) 343-7271.

What is Frandsen Dental'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 Frandsen Dental was last updated on May 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.