Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780714915 Individual Practitioner Male Practitioner

Dr. Tyler J Smith , DMD

Dentist - General Practice • Boise, ID

Professional Overview & Biography Verified Profile Summary

Dr. Tyler Smith, DMD is a registered healthcare professional specializing in Dentist - General Practice in Boise, ID. Practice services are available at 2200 E WARM SPRINGS AVE STE 108 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2200 E Warm Springs Ave Ste 108

Boise, ID 83712

Telephone 2088304438
Fax 2083921384

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Boise, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.3 Yrs
Regional Practice Density
142 Specialists

Practicing in Boise, ID (781 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License ID D-3898

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blueshield Of Idaho #
000010157744 (ID)
Commercial Insurance / Payer ID Idaho Controlled Substanc
CS11082 (ID)
Commercial Insurance / Payer ID Idaho Dentistry License
D-3898 (ID)

Secondary Practice Locations

2200 E Warm Springs Ave Ste 108

Boise, ID 83712

Phone: 2088304438

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location July 28, 2019

Registered at 2200 E WARM SPRINGS AVE STE 108, BOISE, ID 83712 (Tel: 2088304438)

📍
Updated Business Mailing Address July 28, 2019

Registered at 2200 E WARM SPRINGS AVE STE 108, BOISE, ID 837128405 (Tel: 2083432000)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2280 AMERICAN LEGION BLVD, MOUNTAIN HOME, ID 836473142 (Tel: 2083667416)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3565 E TRAIL BLUFF LN, BOISE, ID 837167091 (Tel: 2083434671)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as TYLER SMITH, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #D-3898 in ID)

🟢
Initial NPI Registration & Enumeration March 06, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780714915
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 06, 2007
Last Update: March 07, 2023
Sole Proprietor: No

Mailing Address

2200 E Warm Springs Ave Ste 108

Boise, ID 837128405

Phone: 2083432000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.