NPI age
15 years
Enumerated 2010-11-01
● Active Type 2 · Organization
Idaho Smiles Assoc. Plls
Idaho Smiles Assoc. Plls is 1 of 1,126 general practice (dentist) organizations in Idaho.
Primary specialty
General Practice (Dentist)
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Tuller
Owner/dentist
Last NPPES update
2010-11-01
Source: CMS NPPES provider record
How this organization compares
Across 1126 active general practice (dentist) providers in Idaho.
NPI age
15 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2010 → 2010
2010-11Enumerated in NPPES
2010
2010
Where they practice
Primary practice location
305 W Idaho St
Boise, ID 837026040
Mailing address
305 W Idaho St
Boise, ID 837026040
Authorized official
Jeff Tuller, DDS
Owner/dentist
📞 2083437271
Other providers sharing this address
1 individual provider use this same primary NPPES address. Address matching does not prove employment or organizational affiliation.
- Jerry Cole, DDS Dentist NPI 1407078538
Specialties
-
Dentist PrimaryA general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 1285641589 | NPI |
Practice context
Shared NPPES address. 1 individual provider use this primary address. This does not prove employment or affiliation.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.