NPI age
19 years
Enumerated 2007-05-07
● Active Type 2 · Organization
Idaho State University
Idaho State University is 1 of 591 dentist organizations in Idaho.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Freeman
Office Manager
Last NPPES update
2008-06-24
Source: monthly bulk 2026-05
How this organization compares
Across 591 active dentist providers in Idaho.
NPI age
19 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-05Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
2033 E Summersweet Dr
Boise, ID 837166695
Mailing address
2033 E Summersweet Dr
Boise, ID 837166695
Authorized official
Tina M Freeman, BHSA
Office Manager
📞 2083310182
Individual providers at this organization
7 individual providers on file at this primary practice address.
- Michael Anderson, DMD Dentist NPI 1609181940
- Heidi Browne, DDS Dentist NPI 1043521537
- Jacob Christensen, DMD Dentist NPI 1821308081
- Tyler Harrington, DDS Dentist NPI 1861515637
- Eric Hoidal, D.D.S. Dentist NPI 1568666725
- Matthew Larson, DDS Dentist NPI 1497066989
- Renee Summers, DMD Dentist NPI 1871740316
Specialties
-
Dentist PrimaryA dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 807200600 |
Practice context
Multi-provider organization. 7 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 →
- 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.