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

Idaho Smiles Assoc PLLC

Organization Dentist · NPI 1568772028

Idaho Smiles Assoc PLLC provides Dentist services in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2010.

Licensed in
ID
In the registry since
2010
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

305 W Idaho St
Boise, ID 83702-6040 Not confirmed with CMS for 15 years — call before visiting
Phone: (208) 343-7271
Fax: (888) 375-3163
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D 2065 (ID)

Record details

NPI number1568772028
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Tuller — Owner · (208) 343-7271
NPI enumeratedOctober 18, 2010
Last updated in NPPESOctober 18, 2010
Mailing address305 W Idaho St, Boise, ID 83702-6040

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