NPI age
2 years
Enumerated 2023-08-09
● Active Type 2 · Organization
Parkcenter Oral And Maxillofacial Surgery
Parkcenter Oral And Maxillofacial Surgery is 1 of 64 dentist organizations in Idaho.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Rupp
Owner
Last NPPES update
2023-10-20
Source: monthly bulk 2026-05
How this organization compares
Across 64 active dentist providers in Idaho.
NPI age
2 years
↓ 15 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2023 → 2026
2023-08Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
3190 E Barber Valley Dr
Boise, ID 83716
Mailing address
3190 E Barber Valley Dr
Boise, ID 83716
Authorized official
Stuart J Rupp, DMD
Owner
📞 2085536813
Specialties
-
Dentist PrimaryThe specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Practice context
Single-site organization. Only one practice location on file.
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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.