NPI age
19 years
Enumerated 2006-06-18
● Active Type 2 · Organization
Boise Smiles Youth Dentistry, Pllc
Boise Smiles Youth Dentistry, Pllc is 1 of 1099 dentist organizations in Idaho.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Stump
Manager, Licensing & Credentialing
Last NPPES update
2014-07-09
Source: monthly bulk 2026-05
How this organization compares
Across 1099 active dentist providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
8744 Fairview Ave
Boise, ID 837048207
Mailing address
16 Arcade Unit 198747
Nashville, TN 372191994
Authorized official
Jenell Stump
Manager, Licensing & Credentialing
📞 6157500343
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 |
|---|---|---|
| 05 (ID) | 807095000 |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.