NPI age
19 years
Enumerated 2007-03-06
● Active
Type 1 · Individual
Tyler J Smith, DMD
Smith is 1 of 214 dentist providers in Boise and 1 of 1099 in Idaho.
Primary specialty
Dentist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-03-07
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1099 active dentist providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
12% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Practice location
2200 E Warm Springs Ave Ste 108
Boise, ID 83712
Mailing address
2200 E Warm Springs Ave Ste 108
Boise, ID 837128405
Additional practice locations
1 secondary location on file with NPPES.
Location 2
2200 E Warm Springs Ave Ste 108
Boise, ID 83712
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) | 000010157744 | BLUESHIELD OF IDAHO # |
| 01 (ID) | CS11082 | IDAHO CONTROLLED SUBSTANC |
| 01 (ID) | D-3898 | IDAHO DENTISTRY LICENSE |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
Recently enumerated nearby: 3 new dentist providers have been added in Boise in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.