P Praxis·MD
● Active Type 2 · Organization

Downtown Dental Pllc

Clinic/Center·Boise, ID· NPI 1407361769 · Enumerated 2017 · 8 years on NPI
Downtown Dental Pllc is 1 of 202 clinic/center organizations in Idaho.
NPI age
8 years
Enumerated 2017-12-08
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kowalczyk
Dentist
Last NPPES update
2023-12-06
Source: monthly bulk 2026-05

How this organization compares

Across 202 active clinic/center providers in Idaho.

NPI age
8 years
≈ at median (8 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2017 → 2026

2017-12Enumerated in NPPES
2017 2026

Where they practice

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

Authorized official

Ryan Kowalczyk, DDS
Dentist
📞 2083425444

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    ID license #D-3689 taxonomy 261QD0000X

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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