OrganizationActive
Idaho Dental Professionals, P.C.
NPI 1114532645 · General Practice Dentistry · Boise, ID
Idaho Dental Professionals, P.C. is a General Practice Dentistry organization in Boise, ID (NPI 1114532645).
Provider details
- NPI number
- 1114532645
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Heartland Dental
- Organization subpart
- Yes
- Authorized official
- Tabatha Lemke, Credentialing Coordinator(217) 540-6078
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
2803 N Bogus Basin Rd
Boise, ID 83702-0913
Phone: (208) 343-1393
Street-level locationGet directions
Mailing address
2803 N Bogus Basin Rd
Boise, ID 83702-0913
Other names (DBA / former)
- Doing business as
- A Reason to Smile
Registry dates
- Enumerated
- 2020-09-11
- Last updated
- 2020-09-11
- Certified
- 2020-09-10
Frequently asked questions
- What is Idaho Dental Professionals, P.C.'s NPI number?
- Idaho Dental Professionals, P.C.'s National Provider Identifier (NPI) is 1114532645, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Idaho Dental Professionals, P.C.?
- Idaho Dental Professionals, P.C. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Idaho Dental Professionals, P.C. located?
- Idaho Dental Professionals, P.C.'s practice location on file with NPPES is 2803 N Bogus Basin Rd, Boise, ID 83702-0913.
- What is Idaho Dental Professionals, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Idaho Dental Professionals, P.C. is (208) 343-1393.
- Who is the authorized official for Idaho Dental Professionals, P.C.?
- The authorized official listed on Idaho Dental Professionals, P.C.'s NPPES record is Tabatha Lemke, Credentialing Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Idaho Dental Professionals, P.C.'s NPI active?
- Yes — Idaho Dental Professionals, P.C.'s NPI (1114532645) is active in the NPPES registry as of the last update on 2020-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.