NORTHWEST DENTAL CENTER PA NPI 1639278146

NPI Information

  • NPI: 1639278146
  • Provider Name: NORTHWEST DENTAL CENTER, PA
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 8300 W NORTHVIEW ST
    BOISE, ID
    ZIP 83704
  • Phone: (208) 377-8078

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NPI Details

NORTHWEST DENTAL CENTER, PA 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. NORTHWEST DENTAL CENTER, PA NPI is 1639278146. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8300 W NORTHVIEW ST
BOISE, ID
ZIP 83704-132
Phone: (208) 377-8078
Fax: (208) 377-3689

The provider's authorized official is Don R Cook .
The authorized official title is Owner and has the following contact phone number (208) 377-8078.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 11/17/2022.

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
11223G0001XDentistGeneral PracticeD3202IDAHOYes

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
1464827OTHERIDAHOUNITED CONCORDIA
26C362OTHERIDAHOBLUE CROSS PROVIDER ID
3806376000MEDICAIDIDAHO

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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