Boise Towne Square Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D3877 Issued in ID

Legal business name

BOISE TOWNE SQUARE DENTAL

Practice address

7677 W Emerald St
Boise, ID 83704-9018

Phone

(208) 888-0662

Fax

(208) 888-0863

NPI assigned

Jul 20, 2007

Last updated

Jul 20, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Wade Pilling, D.M.DNPI 1578571832

Title

Owner

Phone

(208) 888-0662

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wade Austen Pilling, D.M.D.

  • General Practice Dentistry
  • Meridian, ID
  • NPI 1578571832
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1104026822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7677 W EMERALD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049018",
            "telephone_number": "208-888-0662",
            "fax_number": "208-888-0863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7677 W EMERALD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049018",
            "telephone_number": "208-888-0662",
            "fax_number": "208-888-0863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOISE TOWNE SQUARE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "PILLING",
        "authorized_official_first_name": "WADE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-888-0662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D3877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boise State Health Center (Boise State University)
• Boise State University (Boise State University Public Health Clinic)
• Boise State University
• Boise Therapeutic Massage Center, LLC
• Boise Toothtown Dentistry for Kids PLLC
• Boise Towne Square Dental
• Boise Ultrasound Company LLP
• Boise VA Hospital
• Boise VA Medical Center
• Boise Valley Asthma & Allergy PA (Boise Valley Asthma And Allergy Clinic)

• General Practice Dentistry in Boise, ID
• Providers in Boise, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.