NPI age
3 years
Enumerated 2022-10-26
● Active Type 2 · Organization
Boise Children'S Dentistry Pllc
Boise Children'S Dentistry Pllc is 1 of 114 dentist organizations in Idaho.
Primary specialty
Dentist
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Lyall
Owner Dentist
Last NPPES update
2022-10-26
Source: monthly bulk 2026-05
How this organization compares
Across 114 active dentist providers in Idaho.
NPI age
3 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 32% of peers with subspecialties
NPI lifetime · 2022 → 2026
2022-10Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
136 E Mallard Dr
Boise, ID 837063975
Mailing address
136 E Mallard Dr
Boise, ID 837063975
Authorized official
Alexis Phillips Lyall, DMD
Owner Dentist
📞 2085005437
Individual providers at this organization
2 individual providers on file at this primary practice address.
- John Kalange, D.D.S., M.S. Dentist NPI 1124014154
- Alexis Phillips, D.M.D. Dentist NPI 1346771904
Specialties
-
Dentist PrimaryAn age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
-
Clinic/CenterDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Dr. Alexis Phillips Kids Dentist
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 →
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