DR. THOMAS MATTHEW DANCE DDS NPI 1518165430

NPI Information

  • NPI: 1518165430
  • Provider Name: DR. THOMAS MATTHEW DANCE, DDS
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Individual
  • Address: 1027 W. PRAIRIE AVE
    HAYDEN, ID
    ZIP 83835
  • Phone: (208) 818-9432

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NPI Details

DR. Thomas Matthew Dance, DDS is a pediatric dentistry dentist in Hayden, ID. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Thomas Matthew Dance, DDS NPI is 1518165430. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1027 W. PRAIRIE AVE
HAYDEN, ID
ZIP 83835
Phone: (208) 818-9432
Fax: (208) 772-2213

The enumeration date for this NPI number is 7/3/2007 and was last updated on 10/17/2018.

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
11223P0221XDentistPediatric DentistryD-4050-PDIDAHOYes
21223P0221XDentistPediatric DentistryD-4050IDAHONo

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
1807729000MEDICAIDIDAHO

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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