OrganizationActive
Boise Orthodontics P.A.
NPI 1770754186 · Orthodontics and Dentofacial Orthopedics Dentistry · Boise, ID
Provider details
- NPI number
- 1770754186
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Glen Smith, Owner(208) 323-4458
- License
- D-3036-OR (ID)
Specialties & taxonomies
Dental Providers
Practice location
4725 N Cloverdale Rd
Suite 101
Boise, ID 83713-4911
Phone: (208) 323-4458
Approximate (ZIP-level) locationGet directions
Mailing address
4725 N Cloverdale Rd
Boise, ID 83713-4911
Registry dates
- Enumerated
- 2008-03-13
- Last updated
- 2008-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.