NPI age
16 years
Enumerated 2009-11-02
● Active Type 2 · Organization
Pediatric Dentistry Associates
Pediatric Dentistry Associates is 1 of 202 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Emory
President/pediatric Dentist
Last NPPES update
2009-11-02
Source: monthly bulk 2026-05
How this organization compares
Across 202 active clinic/center providers in Idaho.
NPI age
16 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-11Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
13014 W Persimmon Ln
Boise, ID 837131986
Mailing address
13014 W Persimmon Ln
Boise, ID 837131986
Authorized official
Rodman O Emory, D.D.S.
President/pediatric Dentist
📞 2083772072
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Adam Bunker, DMD Dentist NPI 1215193792
- Rodman Emory, D.D.S. Dentist NPI 1427012046
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 002697900 |
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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