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TREASURE VALLEY PERIODONTICS
NPI 1972968998
Dentist - Periodontics in Boise, ID

Active since December 17, 2015
813 N STILSON RD STE C, BOISE, ID 83703(208) 344-0908 Get Directions Write a Review

NPPES record last updated: December 17, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Treasure Valley Periodontics NPPES

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

TREASURE VALLEY PERIODONTICS (NPI 1972968998) is a healthcare organization registered as a periodontics in Boise, Idaho and active in the NPI registry since December 2015. The organization lists Kathleen A Beaudry, Owner, as its authorized official.

NPPES Registry Identity

NPI1972968998
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameTREASURE VALLEY PERIODONTICS
Location Address813 N STILSON RD STE CBoise, ID 83703-5119
Mailing Address813 N Stilson Rd Ste CBoise, ID 83703-5119 · (208) 344-0908
Phone(208) 344-0908
Organization SubpartNo
Authorized OfficialKathleen A BeaudryOwner · (208) 344-0908
Enumeration DateDecember 17, 2015
✔ NPI 1972968998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in ID · D-4444-PE
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
813 N STILSON RD STE C, Boise, ID 83703
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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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Treasure Valley Periodontics's NPI number?

The NPI number for Treasure Valley Periodontics is 1972968998. It was assigned to this organization in the NPPES registry on December 17, 2015.

Where is Treasure Valley Periodontics located?

Treasure Valley Periodontics is located at 813 N Stilson Rd Ste C, Boise, ID 83703. The listed phone number is (208) 344-0908.

What is Treasure Valley Periodontics's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Treasure Valley Periodontics was last updated on December 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.