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

Treasure Valley Periodontics

Organization Periodontics · NPI 1972968998

Treasure Valley Periodontics provides Periodontics in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2015.

Licensed in
ID
In the registry since
2015
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Practice location Address checks out

813 N Stilson Rd Ste C
Boise, ID 83703-5119 Not confirmed with CMS for 10 years — call before visiting
Phone: (208) 344-0908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence D-4444-PE (ID)

Record details

NPI number1972968998
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathleen Beaudry — Owner · (208) 344-0908
NPI enumeratedDecember 17, 2015
Last updated in NPPESDecember 17, 2015
Mailing address813 N Stilson Rd Ste C, Boise, ID 83703-5119

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