Idaho Pediatric Dentistry
Orthodontics and Dentofacial Clinic
4401 E Flamingo Ave, Nampa
Idaho, 83687-3113
208-461-5459 208-461-6023
Maps & DirectionsIdaho Pediatric Dentistry is a Orthodontics and Dentofacial Clinic in Nampa, Idaho. It is located at 4401 E Flamingo Ave, Nampa, ID and its contact number is 208-461-5459. The authorized person for Idaho Pediatric Dentistry is Dr. Christopher K Loveland
who is Owner of the clinic and their contact number is 208-461-5459. The primary license number for Idaho Pediatric Dentistry is D3936 (Pediatric Dentistry) in Idaho.
Idaho Pediatric Dentistry 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:
Idaho Pediatric Dentistry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Idaho Pediatric Dentistry |
| Specialization: | Orthodontics and Dentofacial Orthopedics |
| Clinic Address: | 4401 E Flamingo Ave, Nampa, Idaho, 83687-3113 |
| Phone: | 208-461-5459 |
| Fax: | 208-461-6023 |
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. Christopher K Loveland |
| Position: | Owner |
| Contact Number: | 208-461-5459 |
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 Idaho Pediatric Dentistry clinic are as mentioned below.
| NPI Number: | 1467697177 |
| NPI Enumeration Date: | 09 Dec, 2008 |
| NPI Last Update On: | 09 Dec, 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 Idaho Pediatric Dentistry are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | D3936 | Idaho | Primary | |
| Orthodontics and Dentofacial Orthopedics | D3908 | Idaho | Secondary | |
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 |
| 807511400 | Medicaid | Idaho | |
| 808185200 | 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: | Idaho Pediatric Dentistry 4401 E Flamingo Ave, Nampa, Idaho |
| Zip: | 83687-3113 |
| Phone Number: | 208-461-5459 |
| Fax Number: | 208-461-6023 |
Patients can reach Idaho Pediatric Dentistry at
4401 E Flamingo Ave, Nampa, Idaho or can
call to book an appointment on 208-461-5459.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.