OrganizationActive
Boise Premier Dentistry
NPI 1689258758 · Dentist · Boise, ID
Boise Premier Dentistry is a Dentist organization in Boise, ID (NPI 1689258758).
Provider details
- NPI number
- 1689258758
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Maryam Moghaddasian, Owner(208) 794-6391
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(63/100 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
3809 W State St
Boise, ID 83703-5221
Phone: (208) 551-5155
Street-level locationGet directions
Mailing address
3809 W State St
Boise, ID 83703-5221
Other names (DBA / former)
- Doing business as
- Boise Premier Dentistry
Registry dates
- Enumerated
- 2021-05-05
- Last updated
- 2021-05-05
- Certified
- 2021-05-05
Frequently asked questions
- What is Boise Premier Dentistry's NPI number?
- Boise Premier Dentistry's National Provider Identifier (NPI) is 1689258758, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Boise Premier Dentistry?
- Boise Premier Dentistry is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Boise Premier Dentistry located?
- Boise Premier Dentistry's practice location on file with NPPES is 3809 W State St, Boise, ID 83703-5221.
- What is Boise Premier Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Boise Premier Dentistry is (208) 551-5155.
- Who is the authorized official for Boise Premier Dentistry?
- The authorized official listed on Boise Premier Dentistry's NPPES record is Maryam Moghaddasian, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Boise Premier Dentistry's NPI active?
- Yes — Boise Premier Dentistry's NPI (1689258758) is active in the NPPES registry as of the last update on 2021-05-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.