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

Dr. Laura Breanna Videtich, DDS

Individual provider Pediatric Dentistry · NPI 1902381247

Dr. Laura Breanna Videtich, DDS is a Pediatric Dentistry in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2018.

Licensed in
ID
In the registry since
2018
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

651 E Parkcenter Blvd
Boise, ID 83706-6575
Phone: (208) 384-9872
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence D-PD-5274 (ID)

Record details

NPI number1902381247
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedOctober 2, 2018
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 2025

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