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

Periodontal Health Specialists of Idaho

Organization Periodontics · NPI 1689077026

Periodontal Health Specialists of Idaho is a Periodontics in Boise, Idaho. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

140 E Boise Ave
Boise, ID 83706
Phone: (208) 385-9228
Fax: (208) 385-9292
Show map & directions

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

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X

Record details

NPI number1689077026
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randy Demetter — Owner/Partner · (208) 385-9228
Other names Florence And Lincks And Associates
NPI enumeratedSeptember 30, 2014
Last updated in NPPESMay 8, 2023
Certification dateMay 8, 2023
Mailing address140 E Boise Ave, Boise, ID 83706

Other providers in Boise