Boise 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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.