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

Treasure Valley Pediatric Dentistry

Organization Pediatric Dentistry · NPI 1568902286

Treasure Valley Pediatric Dentistry is a Pediatric Dentistry in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2017.

Licensed in
ID
In the registry since
2017

Practice location Address checks out

1564 S Timesquare Ln
Boise, ID 83709-8266
Phone: (208) 376-8873
Fax: (208) 377-8875
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence D3725-PD (ID)

Record details

NPI number1568902286
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roy Rogers — Pediatric Dentist · (208) 376-8873
NPI enumeratedFebruary 28, 2017
Last updated in NPPESFebruary 28, 2017
Mailing address1564 S Timesquare Ln, Boise, ID 83709-8266

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