# BOISE DENTAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538279450
- **Authorized official:** DR. MICHAEL E SMITH DMD (OWNER)
- **Authorized official phone:** (208) 343-4986

## Contact information

- **Practice address:** 801 N 10TH ST, BOISE, ID 83702
- **Practice address phone:** (208) 343-4986
- **Practice address fax:** (208) 343-4995
- **Mailing address:** 801 N 10TH ST, BOISE, ID 83702
- **Mailing address phone:** (208) 343-4986
- **Mailing address fax:** (208) 343-4995

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 1544 | ID | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 08/22/2020
