OrganizationActive
Boise Smiles Youth Dentistry, PLLC
NPI 1033154604 · General Practice Dentistry · Boise, ID
Boise Smiles Youth Dentistry, PLLC is a General Practice Dentistry organization in Boise, ID (NPI 1033154604).
Provider details
- NPI number
- 1033154604
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jenell Stump, Manager, Licensing & Credentialing(615) 750-0343
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8744 Fairview Ave
Boise, ID 83704-8207
Phone: (208) 322-3010
Fax: (208) 322-9273
Street-level locationGet directions
Mailing address
16 Arcade Unit 198747
Nashville, TN 37219-1994
Registry dates
- Enumerated
- 2006-06-18
- Last updated
- 2014-07-09
Frequently asked questions
- What is Boise Smiles Youth Dentistry, PLLC's NPI number?
- Boise Smiles Youth Dentistry, PLLC's National Provider Identifier (NPI) is 1033154604, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Boise Smiles Youth Dentistry, PLLC?
- Boise Smiles Youth Dentistry, PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Boise Smiles Youth Dentistry, PLLC located?
- Boise Smiles Youth Dentistry, PLLC's practice location on file with NPPES is 8744 Fairview Ave, Boise, ID 83704-8207.
- What is Boise Smiles Youth Dentistry, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Boise Smiles Youth Dentistry, PLLC is (208) 322-3010.
- Who is the authorized official for Boise Smiles Youth Dentistry, PLLC?
- The authorized official listed on Boise Smiles Youth Dentistry, PLLC's NPPES record is Jenell Stump, Manager, Licensing & Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Boise Smiles Youth Dentistry, PLLC's NPI active?
- Yes — Boise Smiles Youth Dentistry, PLLC's NPI (1033154604) is active in the NPPES registry as of the last update on 2014-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.