Idaho Family Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

IDAHO FAMILY DENTAL PLLC

Practice address

9203 W. Overland Rd.
Boise, ID 83709

Phone

(208) 375-1012

Fax

(208) 375-1098

NPI assigned

Jul 24, 2023

Last updated

Jul 24, 2023By 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. Anna Budolfson, DMDNPI 1841353018

Title

Dentist/Owner

Phone

(208) 375-1012

Specialties & licenses 1

Addresses

Locations

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.

• Anna M Budolfson, DMD

  • General Practice Dentistry
  • Boise, ID
  • NPI 1841353018
  Authorized official Same address or phone

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1356021489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9203 W. OVERLAND RD.",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83709",
            "telephone_number": "208-375-1012",
            "fax_number": "208-375-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9203 W. OVERLAND RD.",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83709",
            "telephone_number": "208-375-1012",
            "fax_number": "208-375-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "BUDOLFSON",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "208-375-1012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Idaho Eye Pros of Boise
• Idaho Eyecare Center
• Idaho Eyelid & Facial Plastic Surgery , PLLC
• Idaho Face & Voice, LLC
• Idaho Facial Imaging LLC
• Idaho Family Physicians
• Idaho Family Wellness
• Idaho Federtion of Families (The Brick House)
• Idaho Foot & Ankle Associates
• Idaho Gastroenterology Associates, LLP

• Dentist in Boise, ID
• Providers in Boise, ID by specialty
• Dentist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.