CAPITOL DENTAL PC NPI 1831101518

NPI Information

  • NPI: 1831101518
  • Provider Name: CAPITOL DENTAL, PC
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Organization
  • :
  • Address: 314 W BANNOCK ST
    BOISE, ID
    ZIP 83702
  • Phone: (208) 336-9333

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NPI Details

CAPITOL DENTAL, PC is a periodontics dentist in Boise, ID. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. CAPITOL DENTAL, PC NPI is 1831101518. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

314 W BANNOCK ST
BOISE, ID
ZIP 83702-032
Phone: (208) 336-9333
Fax: (208) 387-1951

The provider's authorized official is Darrel L Mooney .
The authorized official title is Owner and has the following contact phone number (208) 336-9333.

The enumeration date for this NPI number is 8/12/2006 and was last updated on 9/11/2025.

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
1122300000XDentistNo
21223P0700XDentistProsthodonticsNo
31223P0300XDentistPeriodonticsYes

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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