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

Idaho Pediatric Dentistry

Organization Pediatric Dentistry · NPI 1467697177

Idaho Pediatric Dentistry provides Pediatric Dentistry in Nampa, Idaho. Licensed in Idaho. Registered with an NPI since 2008.

Licensed in
ID
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

4401 E Flamingo Ave
Nampa, ID 83687-3113 Not confirmed with CMS for 17 years — call before visiting
Phone: (208) 461-5459
Fax: (208) 461-6023
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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 D3936 (ID)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X · Licence D3908 (ID)

Record details

NPI number1467697177
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Loveland — Owner · (208) 461-5459
NPI enumeratedDecember 9, 2008
Last updated in NPPESDecember 9, 2008
Mailing address4401 E Flamingo Ave, Nampa, ID 83687-3113

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