OrganizationActive
Tmd PLLC
NPI 1366601734 · Dentist · Boise, ID
Provider details
- NPI number
- 1366601734
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Michelle Ryan, Office Manager(208) 333-9999
- License
- D3273 (ID)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
2031 E Hospitality Ln
Suite 100
Boise, ID 83716-6603
Phone: (208) 333-9999
Fax: (208) 343-5889
Street-level locationGet directions
Mailing address
2031 E Hospitality Ln
Boise, ID 83716-6603
Other names (DBA / former)
- Other name
- Modern Dental
Registry dates
- Enumerated
- 2008-06-02
- Last updated
- 2011-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.