Periodontal Health Specialists Of Idaho is a Periodontology Clinic in Boise, Idaho. It is located at 140 E Boise Ave, Boise, ID and its contact number is 208-385-9228. The authorized person for Periodontal Health Specialists Of Idaho is Randy S Demetter
who is Owner/partner of the clinic and their contact number is 208-385-9228. Other organizations associated with this clinic are Periodontal Health Specialists Of Idaho, Stephen A. Morris,
Periodontal Health Specialists Of Idaho Clinic is specialized in that branch of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Complete Clinic Profile:
Periodontal Health Specialists Of Idaho Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Periodontal Health Specialists Of Idaho |
| Specialization: | Periodontology |
| Clinic Address: | 140 E Boise Ave, Boise,
Idaho, 83706 |
| Phone: | 208-385-9228 |
| Fax: | 208-385-9292 |
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: | Randy S Demetter |
| Position: | Owner/partner |
| Contact Number: | 208-385-9228 |
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 Periodontal Health Specialists Of Idaho clinic are as mentioned below.
| NPI Number: | 1689077026 |
| NPI Enumeration Date: | 30 Sep, 2014 |
| NPI Last Update On: | 08 May, 2023 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Periodontal Health Specialists Of Idaho | Periodontology | 1689077026 |
| Stephen A. Morris | Orthodontics and Dentofacial Orthopedics | 1770750887 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Periodontal Health Specialists Of Idaho are as mentioned below.
| Specialization | License Number | State | Status | |
| Periodontics | | | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Periodontal Health Specialists Of Idaho
140 E Boise Ave,
Boise, Idaho |
| Zip: | 83706 |
| Phone Number: | 208-385-9228 |
| Fax Number: | 208-385-9292 |
Patients can reach Periodontal Health Specialists Of Idaho at
140 E Boise Ave, Boise, Idaho or can
call to book an appointment on 208-385-9228.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.