OrganizationActive
Southwest Dental Associates
NPI 1124346499 · General Practice Dentistry · Boise, ID
Provider details
- NPI number
- 1124346499
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jeffrey Tuller, Dentist(208) 322-5655
- License
- D2065 (ID)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
1201 S Five Mile Rd
Boise, ID 83709-1304
Phone: (208) 322-5655
Fax: (208) 323-8160
Street-level locationGet directions
Mailing address
1201 S Five Mile Rd
Boise, ID 83709-1304
Registry dates
- Enumerated
- 2010-05-12
- Last updated
- 2010-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.