# ROOTS DENTAL PLLC

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

## Provider details

- **NPI number:** 1851005904
- **Authorized official:** DR. WILLIAM FREI DMD (OWNER/PARTNER)
- **Authorized official phone:** (208) 821-2206

## Contact information

- **Practice address:** 6291 N FOX RUN WAY STE 120, MERIDIAN, ID 83646-6791
- **Practice address phone:** (208) 821-2206
- **Mailing address:** 5436 N EXETER WAY, MERIDIAN, ID 83646-4691
- **Mailing address phone:** (208) 821-2206

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 332BC3200X | Customized Equipment (DME) | — | — | — |

## Other

- **Enumeration date:** 01/12/2023
- **Last updated:** 01/09/2026