Sanders Dental PLLC
Dentist, General Practice in Boise, ID. Organization (NPI-2).
NPI number1386586568
StatusActive
Last updated in NPPESApr 28, 2026
Details
- NPI
- 1386586568
- Entity type
- Organization (NPI-2)
- Legal business name
- Sanders Dental PLLC
- Organization subpart
- No
- Enumeration date
- Apr 7, 2026
- Certification date
- Apr 28, 2026
- Last updated
- Apr 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
10200 W Emerald St Ste 105Boise, ID 83704-8900
Phone 208-376-7954
Mailing address
10200 W Emerald St Ste 105Boise, ID 83704-8900
Phone 208-376-7954
Authorized official
Casey Dale Sanders
Owner/Dentist
2083767954
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