NPI 1003116542

Idaho Smiles Assoc. Plls

Organisation General Practice Dentistry Boise, ID

Practice location

Address: 305 W Idaho St, Boise, ID 83702-6040
Phone: (208) 343-7271

Authorised official

Name: Jeff Tuller
Title: Owner/Dentist
Phone: (208) 343-7271

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence D-2065 (ID)

Other Dentist providers in Idaho →

Registry record

NPI: 1003116542
Entity type: Organization
NPI issued: 1 Nov 2010
Record last updated: 1 Nov 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.