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

Lake Harbor Dental PLLC

Organization Dental Clinic/Center · NPI 1427669720

Lake Harbor Dental PLLC is a Dental Clinic/Center in Boise, Idaho. Registered with an NPI since 2020.

In the registry since
2020
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

5355 W State St
Boise, ID 83703-3333
Phone: (208) 853-4687
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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

Record details

NPI number1427669720
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eric Ballou — Owner · (208) 853-4687
NPI enumeratedAugust 11, 2020
Last updated in NPPESAugust 11, 2020
Certification dateAugust 11, 2020
Mailing address5355 W State St, Boise, ID 83703-3333

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