Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boise Children's Dentistry PLLC

Organization Pediatric Dentistry · NPI 1700503133

Boise Children's Dentistry PLLC is a Pediatric Dentistry in Boise, Idaho. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

136 E Mallard Dr
Boise, ID 83706-3975
Phone: (208) 500-5437
Fax: (208) 908-6178
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X
Dental Clinic/Center Taxonomy 261QD0000X

Record details

NPI number1700503133
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alexis Lyall — Owner Dentist · (208) 500-5437
Other names Dr. Alexis Phillips Kids Dentist
NPI enumeratedOctober 26, 2022
Last updated in NPPESOctober 26, 2022
Certification dateOctober 26, 2022
Mailing address136 E Mallard Dr, Boise, ID 83706-3975

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