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

Randy Demetter, DDS

Individual provider Periodontics · NPI 1275941288

Randy Demetter, DDS is a Periodontics in Boise, Idaho. Practices as a sole proprietor and works from 2 locations. Licensed in Idaho and Texas.

Licensed in
ID, TX
In the registry since
2014
Specialties on file
2
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.

See every abbreviation used in this directory →

Practice location Address checks out

140 E Boise Ave
Boise, ID 83706-4302
Phone: (208) 385-9228
Show map & directions

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

Additional practice locations (1)

  • 347 W Iowa Ave, Nampa, ID 83686-2856 — (208) 463-4548

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence D-4831-PE (ID)
Periodontics Taxonomy 1223P0300X · Licence ETN283 (TX)

Record details

NPI number1275941288
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 23, 2014
Last updated in NPPESApril 5, 2023
Certification dateApril 5, 2023
Mailing address140 E Boise Ave, Boise, ID 83706-4302

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