P Praxis·MD
● Active Type 2 · Organization

Southwest Dental Associates

Dentist·Boise, ID· NPI 1124346499 · Enumerated 2010 · 16 years on NPI
Southwest Dental Associates is 1 of 1099 dentist organizations in Idaho.
NPI age
16 years
Enumerated 2010-05-12
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Tuller
Dentist
Last NPPES update
2010-05-12
Source: monthly bulk 2026-05

How this organization compares

Across 1099 active dentist providers in Idaho.

NPI age
16 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2010 → 2026

2010-05Enumerated in NPPES
2010 2026

Where they practice

Primary practice location
1201 S Five Mile Rd
Boise, ID 837091304
📞 2083225655fax 2083238160
Mailing address
1201 S Five Mile Rd
Boise, ID 837091304
📞 2083225655fax 2083238160

Authorized official

Jeffrey Tuller, DDS
Dentist
📞 2083225655

Individual providers at this organization

4 individual providers 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 #D2065 taxonomy 1223G0001X

Practice context

Multi-provider organization. 4 individual providers on file at this primary address.

Provyx · Custom healthcare lists

Need all 1099 Dentist providers in Idaho?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

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.

Related