NPI age
19 years
Enumerated 2006-10-04
● Active Type 2 · Organization
Mallard Family Dental Center, Pllc
Mallard Family Dental Center, Pllc is 1 of 1099 dentist organizations in Idaho.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Gorczyca
Owner
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 1099 active dentist providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-10Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
144 E Mallard Dr
Boise, ID 837063975
Mailing address
144 E Mallard Dr
Boise, ID 837063975
Authorized official
James A. Gorczyca
Owner
📞 2083420315
Individual providers at this organization
1 individual provider on file at this primary practice address.
- James Gorczyca, D.D.S. Dentist NPI 1477622983
Specialties
-
Dentist PrimaryA 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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 00001 0135725 | REGENCE BLUE SHILD |
| 01 (ID) | 66688 | BLUE CROSS |
| 01 (ID) | 6E730 | FEDERAL EMPLOYEE PROVIDER |
| 01 (ID) | 6E755 | FEDERAL EMPLOYEE PROVIDER |
Practice context
Multi-provider organization. 1 individual provider 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.