Boise Smiles Youth Dentistry, Pllc is a Dental Clinic in Boise, Idaho. It is located at 8744 Fairview Ave, Boise, ID and its contact number is 208-322-3010. The authorized person for Boise Smiles Youth Dentistry, Pllc is Mrs. Jenell Stump
who is Manager, Licensing & Credentialing of the clinic and their contact number is 615-750-0343.
Boise Smiles Youth Dentistry, Pllc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Boise Smiles Youth Dentistry, Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Boise Smiles Youth Dentistry, Pllc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 8744 Fairview Ave, Boise,
Idaho, 83704-8207 |
| Phone: | 208-322-3010 |
| Fax: | 208-322-9273 |
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: | Mrs. Jenell Stump |
| Position: | Manager, Licensing & Credentialing |
| Contact Number: | 615-750-0343 |
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 Smiles Youth Dentistry, Pllc clinic are as mentioned below.
| NPI Number: | 1033154604 |
| NPI Enumeration Date: | 18 Jun, 2006 |
| NPI Last Update On: | 09 Jul, 2014 |
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 Smiles Youth Dentistry, Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | | | 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 |
| 807095000 | Medicaid | Idaho | |
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 Smiles Youth Dentistry, Pllc
16 Arcade Unit 198747,
Nashville, Tennessee |
| Zip: | 37219-1994 |
| Phone Number: | 615-750-0343 |
| Fax Number: | 615-986-1705 |
Patients can reach Boise Smiles Youth Dentistry, Pllc at
8744 Fairview Ave, Boise, Idaho or can
call to book an appointment on 208-322-3010.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.