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

Tmd PLLC

Organization Dentist · NPI 1366601734

Tmd PLLC is a Dentist 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.

See every abbreviation used in this directory →

Practice location Address checks out

2031 E Hospitality Ln Ste 100
Boise, ID 83716-6603
Phone: (208) 333-9999
Fax: (208) 343-5889
Show map & directions

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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