Boise Children's Dentistry Pllc - Dental Clinic in Boise, ID

Boise Children's Dentistry Pllc is a dental clinic (Dentist - Pediatric Dentistry) in Boise, Idaho. The current practice location for Boise Children's Dentistry Pllc is 136 E Mallard Dr, Boise, Idaho. For appointments, you can reach them via phone at (208) 500-5437. The mailing address for Boise Children's Dentistry Pllc is 136 E Mallard Dr, Boise, Idaho and phone number is (208) 500-5437.

Boise Children's Dentistry Pllc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1700503133. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (208) 500-5437.

Contact Information

Boise Children's Dentistry Pllc
136 E Mallard Dr
Boise
ID 83706-3975
(208) 500-5437
(208) 908-6178

Dental Care Clinic Profile

Full NameBoise Children's Dentistry Pllc
SpecialityDentist - Pediatric Dentistry
Location136 E Mallard Dr, Boise, Idaho
Authorized Official Name and PositionAlexis Phillips Lyall (OWNER DENTIST)
Authorized Official Contact2085005437
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Boise Children's Dentistry Pllc
136 E Mallard Dr
Boise
ID 83706-3975

Ph: (208) 500-5437
Boise Children's Dentistry Pllc
136 E Mallard Dr
Boise
ID 83706-3975

Ph: (208) 500-5437

NPI Details:

NPI Number1700503133
Provider Enumeration Date10/26/2022
Last Update Date10/26/2022

Medical Identifiers

Medical identifiers for Boise Children's Dentistry Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700503133NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0221XDentist - Pediatric Dentistry (* (Not Available))Primary
261QD0000XClinic/center - Dental (* (Not Available))Secondary

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