TIMOTHY C. PAVENTY DMD LLC NPI 1649696741

NPI Information

  • NPI: 1649696741
  • Provider Name: TIMOTHY C. PAVENTY DMD, LLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 144 E MALLARD DR
    BOISE, ID
    ZIP 83706
  • Phone: (208) 342-0873

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NPI Details

TIMOTHY C. PAVENTY DMD, LLC 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. TIMOTHY C. PAVENTY DMD, LLC NPI is 1649696741. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

144 E MALLARD DR
BOISE, ID
ZIP 83706-975
Phone: (208) 342-0873

The provider's authorized official is Timothy C Paventy .
The authorized official title is Owner/dentist and has the following contact phone number (208) 342-0315.

The enumeration date for this NPI number is 3/13/2014 and was last updated on 3/13/2014.

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 PracticeD-4286IDAHOYes

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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