Babichenko Dental Lab
Babichenko Dental Lab is a healthcare organization registered as Denturist in Boise, ID, holding Type 2 (organization) NPI 1770623910 since 2007. The authorized official on file is Gennady Babichenko, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1770623910 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Babichenko Dental Lab |
| Other name | <Unavail> |
| Practice address | 10480 W GARVERDALE CT, SUITE 804B, Boise, ID, 83704 |
| Phone | 2083766613 |
| Fax | 2083766613 |
| Enumeration date | 2007-02-07 |
| Last updated in NPPES | 2008-08-08 |
Authorized official
| Name | Gennady Babichenko |
|---|---|
| Title | Owner |
| Phone | 2083766613 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122400000X | Denturist | Primary | LD44 | ID |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 806208700 | Medicaid | ID | — |
Copy-ready billing details
Provider: Babichenko Dental Lab NPI: 1770623910 Taxonomy: 122400000X (Denturist) Address: 10480 W GARVERDALE CT, SUITE 804B, Boise, ID, 83704
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1912088709 | Stephen J Rodell DDS PA | Organization | Endodontics | Boise, ID |
| 1811646573 | Amie Longmire | Individual | Mental Health Counselor | Boise, ID |
Verify this record
Cross-check NPI 1770623910 against the authoritative CMS record: view Babichenko Dental Lab on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Babichenko Dental Lab?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-08-08.