OrganizationActive
East Boise Dental
NPI 1194010272 · Dentist · Boise, ID
Provider details
- NPI number
- 1194010272
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Todd Broyles, Owner(208) 368-0500
- License
- D4068 (ID)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
150 E Boise Ave
Boise, ID 83706-4379
Phone: (208) 368-0500
Street-level locationGet directions
Mailing address
150 E Boise Ave
Boise, ID 83706-4379
Registry dates
- Enumerated
- 2011-06-16
- Last updated
- 2011-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.