NPI age
3 years
Enumerated 2022-08-15
● Active Type 2 · Organization
Emerald Smiles Dentistry, Pc
Emerald Smiles Dentistry, Pc is 1 of 591 dentist organizations in Idaho.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Benson
Owner
Last NPPES update
2022-08-15
Source: monthly bulk 2026-05
How this organization compares
Across 591 active dentist providers in Idaho.
NPI age
3 years
↓ 13 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2022 → 2026
2022-08Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
675 N Milwaukee St Ste 110
Boise, ID 837049185
Mailing address
Po Box 920050
Dallas, TX 753920050
Authorized official
Kenneth C Benson, DMD
Owner
📞 2085933221
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Cierra Kocik, DMD Dentist NPI 1811732357
Specialties
-
Dentist PrimaryA dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Emerald Smiles Dentistry
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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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.