OrganizationActive
Periodontal Health Specialists of Idaho
NPI 1689077026 · Periodontics · Boise, ID
Periodontal Health Specialists of Idaho is a Periodontics organization in Boise, ID (NPI 1689077026).
Provider details
- NPI number
- 1689077026
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Randy Demetter, Owner/Partner(208) 385-9228
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
140 E Boise Ave
Boise, ID 83706
Phone: (208) 385-9228
Fax: (208) 385-9292
Street-level locationGet directions
Mailing address
140 E Boise Ave
Boise, ID 83706
Other names (DBA / former)
- Former legal business name
- Florence and Lincks and Associates
Registry dates
- Enumerated
- 2014-09-30
- Last updated
- 2023-05-08
- Certified
- 2023-05-08
Frequently asked questions
- What is Periodontal Health Specialists of Idaho's NPI number?
- Periodontal Health Specialists of Idaho's National Provider Identifier (NPI) is 1689077026, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Periodontal Health Specialists of Idaho?
- Periodontal Health Specialists of Idaho is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Periodontal Health Specialists of Idaho located?
- Periodontal Health Specialists of Idaho's practice location on file with NPPES is 140 E Boise Ave, Boise, ID 83706.
- What is Periodontal Health Specialists of Idaho's phone number?
- The practice phone number listed in the NPPES registry for Periodontal Health Specialists of Idaho is (208) 385-9228.
- Who is the authorized official for Periodontal Health Specialists of Idaho?
- The authorized official listed on Periodontal Health Specialists of Idaho's NPPES record is Randy Demetter, Owner/Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Periodontal Health Specialists of Idaho's NPI active?
- Yes — Periodontal Health Specialists of Idaho's NPI (1689077026) is active in the NPPES registry as of the last update on 2023-05-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.