P Praxis·MD
● Active Type 1 · Individual

DR. Brant Burbank, DDS

Dentist·Boise, ID· NPI 1982260360 · Enumerated 2019 · 7 years on NPI
Burbank is 1 of 214 dentist providers in Boise and 1 of 1099 in Idaho.
NPI age
7 years
Enumerated 2019-05-11
Primary specialty
Dentist
Plus 2 subspecialties
Licensed in
ID, TX
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-06-15
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
7 years
↓ 11 yr below median (18 yr)
State licenses
2 states
Top 92% — 7% of peers are multi-state
Subspecialties
1
In the 12% of peers with subspecialties

NPI lifetime · 2019 → 2026

2019-05Enumerated in NPPES
2019 2026

Where they practice

Practice location
4255 N Eagle Rd Ste 102
Boise, ID 837130701
📞 2083446300
Mailing address
1210 Pintail
Sherman, TX 750924244

Specialties

  • Dentist Primary
    A 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.
    ID license #D-5145TX license #35436 taxonomy 1223G0001X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 2 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. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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