P Praxis·MD
● Active Type 2 · Organization

Downtown Dental

Dentist·Boise, ID· NPI 1073805735 · Enumerated 2011 · 15 years on NPI
Downtown Dental is 1 of 1099 dentist organizations in Idaho.
NPI age
15 years
Enumerated 2011-05-12
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kowalczyk
Dentist
Last NPPES update
2011-05-12
Source: monthly bulk 2026-05

How this organization compares

Across 1099 active dentist providers in Idaho.

NPI age
15 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2011 → 2026

2011-05Enumerated in NPPES
2011 2026

Where they practice

Primary practice location
1625 W Bannock St
Boise, ID 837025155
📞 2083425444fax 2083422076
Mailing address
1625 W Bannock St
Boise, ID 837025155
📞 2083425444fax 2083422076

Authorized official

Ryan Michael Kowalczyk
Dentist
📞 2083425444

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Dentist Primary
    A 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.
    ID license #D-3689 taxonomy 1223G0001X

Identifiers

TypeValueNotes
01 (ID) 6P481 BLUE CROSS OF IDAHO

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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