NPI age
18 years
Enumerated 2008-03-13
● Active Type 2 · Organization
Boise Orthodontics P.A.
Boise Orthodontics P.A. is 1 of 135 dentist organizations in Idaho.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Smith
Owner
Last NPPES update
2008-03-13
Source: monthly bulk 2026-05
How this organization compares
Across 135 active dentist providers in Idaho.
NPI age
18 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-03Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
4725 N Cloverdale Rd, Suite 101
Boise, ID 837134911
Mailing address
4725 N Cloverdale Rd, Suite 101
Boise, ID 837134911
Authorized official
Glen Allen Smith, DDS MS
Owner
📞 2083234458
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Glen Smith, DDS MS Dentist NPI 1154338812
Specialties
-
Dentist PrimaryThat area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 6L271 | BLUE CROSS ID |
| 01 (ID) | 734506 | UNITED CONCORDIA |
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.