Town Square Dental Partners, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TOWN SQUARE DENTAL PARTNERS, PLLC

Practice address

8660 W Emerald St Ste 152
Boise, ID 83704-4828

Phone

(208) 639-4390

NPI assigned

Aug 9, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Klint R Keller, DDS

Title

Owner/Doctor

Phone

(208) 466-8400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533772800000",
    "number": "1831678903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 7TH AVE S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836513846",
            "telephone_number": "208-466-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8660 W EMERALD ST STE 152",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837044828",
            "telephone_number": "208-639-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN SQUARE DENTAL PARTNERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "KLINT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "208-466-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Kaelae Toth, MS, LCPC
• Daniel Louis Toweill, MD
• Saige Tower
• Terrie J Towle, LCPC
• Town Portal LLC
• Bradley Lynn Townsend, DDS
• Ryan G Townsend, D.O.
• Kluane Tawn Tozier, LM, CPM
• Traci Crabb, Psy.D., PLLC
• Ian David Tracy, DPT

• Dental Clinic/Center in Boise, ID
• Providers in Boise, ID by specialty
• Dental Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.