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

Boise Orthodontics PA

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1770754186

Boise Orthodontics PA is an Orthodontics and Dentofacial Orthopedics Dentistry in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2008.

Licensed in
ID
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4725 N Cloverdale Rd Ste 101
Boise, ID 83713-4911
Phone: (208) 323-4458
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence D-3036-OR (ID)

Record details

NPI number1770754186
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glen Smith — Owner · (208) 323-4458
NPI enumeratedMarch 13, 2008
Last updated in NPPESMarch 13, 2008
Mailing address4725 N Cloverdale Rd, Suite 101, Boise, ID 83713-4911

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