OrganizationActive
Boca Dental Premier
NPI 1306721931 · Dental Clinic/Center · South Lake Tahoe, CA
Boca Dental Premier is a Dental Clinic/Center organization in South Lake Tahoe, CA (NPI 1306721931).
Provider details
- NPI number
- 1306721931
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Wilcox, Director of Billing(702) 703-1590
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
2018 Lake Tahoe Blvd
South Lake Tahoe, CA 96150-6402
Phone: (702) 703-1590
Approximate (ZIP-level) locationGet directions
Mailing address
8989 W Flamingo Rd
Las Vegas, NV 89147-0431
Registry dates
- Enumerated
- 2025-08-11
- Last updated
- 2025-09-05
- Certified
- 2025-09-05
Frequently asked questions
- What is Boca Dental Premier's NPI number?
- Boca Dental Premier's National Provider Identifier (NPI) is 1306721931, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Boca Dental Premier?
- Boca Dental Premier is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Boca Dental Premier located?
- Boca Dental Premier's practice location on file with NPPES is 2018 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6402.
- What is Boca Dental Premier's phone number?
- The practice phone number listed in the NPPES registry for Boca Dental Premier is (702) 703-1590.
- Who is the authorized official for Boca Dental Premier?
- The authorized official listed on Boca Dental Premier's NPPES record is Mary Wilcox, Director of Billing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Boca Dental Premier's NPI active?
- Yes — Boca Dental Premier's NPI (1306721931) is active in the NPPES registry as of the last update on 2025-09-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.