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

Alexis Phillips, DMD

Individual provider Pediatric Dentistry · NPI 1346771904

Alexis Phillips, DMD is a Pediatric Dentistry in Boise, Idaho. Practices as a sole proprietor and works from 2 locations. Licensed in Idaho.

Licensed in
ID
In the registry since
2017
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

136 E Mallard Dr
Boise, ID 83706-3975
Phone: (208) 500-5437
Fax: (208) 908-6178
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3333 Burnet Ave, Cincinnati, OH 45229 — (770) 856-1308

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence D-5002-PD (ID)

Record details

NPI number1346771904
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedMarch 24, 2017
Last updated in NPPESMarch 19, 2025
Certification dateMarch 19, 2025
Mailing address130 National Dr, Johns Creek, GA 30097-2079

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