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Boise Premier Dentistry

Dentist in Boise, ID · enumerated 2021 · authorized official Maryam Moghaddasian, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1689258758

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Registry record

Entity type Organization (Type 2)
Legal business name Boise Premier Dentistry
Practice address 3809 W State St, Boise, ID, 83703
Enumeration date May 5, 2021
Last updated in NPPES May 5, 2021

Taxonomy & classification

122300000X Dentist Dental Providers Primary

Authorized official

Name Maryam Moghaddasian
Title Owner

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Boise Premier Dentistry located?
The practice location on file with NPPES is in Boise, ID.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-05-05. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-05-05.