Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Summit Dental Group

Organization Dentist · NPI 1043343551

Summit Dental Group provides Dentist services in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007

Practice location Address checks out

480 N Latah St
Boise, ID 83706-2630 Not confirmed with CMS for 10 years — call before visiting
Phone: (208) 345-8962
Fax: (208) 345-5207
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D-1351 (ID)

Record details

NPI number1043343551
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Leberman — Admin · (208) 345-8962
NPI enumeratedMarch 13, 2007
Last updated in NPPESApril 4, 2016
Mailing address480 N Latah St, Boise, ID 83706-2630

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