P Praxis·MD
● Active Type 2 · Organization

Troy A. Clovis DMD

Dentist·Boise, ID· NPI 1407015613 · Enumerated 2008 · 17 years on NPI
Troy A. Clovis DMD is 1 of 1099 dentist organizations in Idaho.
NPI age
17 years
Enumerated 2008-06-03
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Mooney
Bookkeeper
Last NPPES update
2008-06-03
Source: monthly bulk 2026-05

How this organization compares

Across 1099 active dentist providers in Idaho.

NPI age
17 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2008 → 2026

2008-06Enumerated in NPPES
2008 2026

Where they practice

Primary practice location
4552 N Cloverdale Rd
Boise, ID 837132417
📞 2083762726fax 2083766401
Mailing address
4552 N Cloverdale Rd
Boise, ID 837132417
📞 2083762726fax 2083766401

Authorized official

Suzanne B Mooney
Bookkeeper
📞 2083762726

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 #D3039 taxonomy 1223G0001X

Identifiers

TypeValueNotes
01 (ID) 62644 UNITED CONCORDIA
01 (ID) 6100-2 BLUE CROSS OF IDAHO
05 (ID) 66D3039

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • BENCHMARK FAMILY DENTISTRY
    Type code 3 recorded 2008-06-03

Practice context

Single-site organization. Only one practice location on file.

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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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