Boise Orthodontics P.a.
Orthodontics and Dentofacial Clinic
4725 N Cloverdale Rd, Suite 101, Boise
Idaho, 83713-4911
208-323-4458 Maps & DirectionsBoise Orthodontics P.a. is a Orthodontics and Dentofacial Clinic in Boise, Idaho. It is located at 4725 N Cloverdale Rd, Suite 101, Boise, ID and its contact number is 208-323-4458. The authorized person for Boise Orthodontics P.a. is Dr. Glen Allen Smith
who is Owner of the clinic and their contact number is 208-323-4458. The primary license number for Boise Orthodontics P.a. is D-3036-OR (Orthodontics and Dentofacial Orthopedics) in Idaho.
Boise Orthodontics P.a. Clinic is concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex.
Complete Clinic Profile:
Boise Orthodontics P.a. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Boise Orthodontics P.a. |
| Specialization: | Orthodontics and Dentofacial Orthopedics |
| Clinic Address: | 4725 N Cloverdale Rd, Suite 101, Boise,
Idaho, 83713-4911 |
| Phone: | 208-323-4458 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Glen Allen Smith |
| Position: | Owner |
| Contact Number: | 208-323-4458 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Boise Orthodontics P.a. clinic are as mentioned below.
| NPI Number: | 1770754186 |
| NPI Enumeration Date: | 13 Mar, 2008 |
| NPI Last Update On: | 13 Mar, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Boise Orthodontics P.a. are as mentioned below.
| Specialization | License Number | State | Status | |
| Orthodontics and Dentofacial Orthopedics | D-3036-OR | Idaho | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 6L271 | Other | Idaho | Blue Cross Id |
| 734506 | Other | Idaho | United Concordia |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Boise Orthodontics P.a.
4725 N Cloverdale Rd, Suite 101
Boise, Idaho |
| Zip: | 83713-4911 |
| Phone Number: | 208-323-4458 |
Patients can reach Boise Orthodontics P.a. at
4725 N Cloverdale Rd, Suite 101, Boise, Idaho or can
call to book an appointment on 208-323-4458.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.