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

Tmd PLLC

Organization Dentist · NPI 1366601734

Tmd PLLC provides Dentist services in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2008.

Licensed in
ID
In the registry since
2008
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

2031 E Hospitality Ln Ste 100
Boise, ID 83716-6603 Not confirmed with CMS for 15 years — call before visiting
Phone: (208) 333-9999
Fax: (208) 343-5889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D3273 (ID)

Record details

NPI number1366601734
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Ryan — Office Manager · (208) 333-9999
Other names Modern Dental
NPI enumeratedJune 2, 2008
Last updated in NPPESSeptember 6, 2011
Mailing address2031 E Hospitality Ln, Suite 100, Boise, ID 83716-6603

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