NPI 1013831775

Times Square Dental

Organisation General Practice Dentistry Boise, ID

Practice location

Address: 1529 S Timesquare Ln, Boise, ID 83709-8266
Phone: (208) 343-1981

Authorised official

Name: Gina Nettles
Title: Office Manager
Phone: (208) 989-3727

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X

Other Dentist providers in Idaho →

Registry record

NPI: 1013831775
Entity type: Organization
NPI issued: 6 Aug 2026
Record last updated: 6 Aug 2026

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.