NPI age
3 years
Enumerated 2022-09-29
● Active Type 2 · Organization
Jake Dabell Dental Boise Pllc
Jake Dabell Dental Boise Pllc is 1 of 202 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Frank
Insurance Coordinator
Last NPPES update
2022-12-19
Source: monthly bulk 2026-05
How this organization compares
Across 202 active clinic/center providers in Idaho.
NPI age
3 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2022 → 2026
2022-09Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
9502 W Fairview Ave
Boise, ID 837048103
Mailing address
9502 W Fairview Ave
Boise, ID 837048103
Authorized official
Stephanie Frank
Insurance Coordinator
📞 5095706879
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Richard Davis, D.D.S. Dentist NPI 1598076473
- James Pfost, DDS Dentist NPI 1295755932
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 261QD0000X | TAXONOMY |
Practice context
Multi-provider organization. 2 individual providers 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 →
- 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.