TROY A. CLOVIS DMD NPI 1407015613

NPI Information

NPI: 1407015613
Provider Name: TROY A. CLOVIS DMD
Classification: Dentist - 1223G0001X
Specialization: General Practice
Entity Type: Organization
Doing Business As: BENCHMARK FAMILY DENTISTRY
Address: 4552 N CLOVERDALE RD
BOISE, ID
ZIP 83713
Phone: (208) 376-2726

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NPI Details

TROY A. CLOVIS DMD is a general practice dentist in Boise, ID. The provider is 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. TROY A. CLOVIS DMD NPI is 1407015613. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Benchmark Family Dentistry.

The provider's business location address is:

4552 N CLOVERDALE RD
BOISE, ID
ZIP 83713-417
Phone: (208) 376-2726
Fax: (208) 376-6401

The provider's authorized official is Suzanne B Mooney .
The authorized official title is Bookkeeper and has the following contact phone number (208) 376-2726.

The enumeration date for this NPI number is 6/3/2008 and was last updated on 6/3/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	D3039	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	62644	OTHER	IDAHO	UNITED CONCORDIA
2	6100-2	OTHER	IDAHO	BLUE CROSS OF IDAHO
3	66D3039	MEDICAID	IDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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