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

Sprout Pediatric Dentistry, PLLC

Organization Pediatric Dentistry · NPI 1114685245

Sprout Pediatric Dentistry, PLLC is a Pediatric Dentistry in Boise, Idaho. Registered with an NPI since 2021.

In the registry since
2021
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

7800 W Ustick Rd
Boise, ID 83704-5848
Phone: (208) 576-6791
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1114685245
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rachel Mitchell — Business Manager · (208) 467-5100
NPI enumeratedDecember 6, 2021
Last updated in NPPESDecember 6, 2021
Certification dateDecember 6, 2021
Mailing address7800 W Ustick Rd, Boise, ID 83704-5848

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