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

Downtown Dental PLLC

Organization Dental Clinic/Center · NPI 1407361769

Downtown Dental PLLC is a Dental Clinic/Center in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2017.

Licensed in
ID
In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1625 W Bannock St
Boise, ID 83702-5155
Phone: (208) 342-5444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence D-3689 (ID)

Record details

NPI number1407361769
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Kowalczyk — Dentist · (208) 342-5444
NPI enumeratedDecember 8, 2017
Last updated in NPPESDecember 6, 2023
Certification dateDecember 6, 2023
Mailing address1625 W Bannock St, Boise, ID 83702-5155

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