OrganizationActive
Lake Harbor Dental PLLC
NPI 1427669720 · Dental Clinic/Center · Boise, ID
Lake Harbor Dental PLLC is a Dental Clinic/Center organization in Boise, ID (NPI 1427669720).
Provider details
- NPI number
- 1427669720
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Eric Ballou, Owner(208) 853-4687
Specialties & taxonomies
Ambulatory Health Care Facilities
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
5 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
5355 W State St
Boise, ID 83703-3333
Phone: (208) 853-4687
Street-level locationGet directions
Mailing address
5355 W State St
Boise, ID 83703-3333
Registry dates
- Enumerated
- 2020-08-11
- Last updated
- 2020-08-11
- Certified
- 2020-08-11
Frequently asked questions
- What is Lake Harbor Dental PLLC's NPI number?
- Lake Harbor Dental PLLC's National Provider Identifier (NPI) is 1427669720, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Harbor Dental PLLC?
- Lake Harbor Dental PLLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lake Harbor Dental PLLC located?
- Lake Harbor Dental PLLC's practice location on file with NPPES is 5355 W State St, Boise, ID 83703-3333.
- What is Lake Harbor Dental PLLC's phone number?
- The practice phone number listed in the NPPES registry for Lake Harbor Dental PLLC is (208) 853-4687.
- Who is the authorized official for Lake Harbor Dental PLLC?
- The authorized official listed on Lake Harbor Dental PLLC's NPPES record is Eric Ballou, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Harbor Dental PLLC's NPI active?
- Yes — Lake Harbor Dental PLLC's NPI (1427669720) is active in the NPPES registry as of the last update on 2020-08-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.