Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1407159197 Deactivated / Inactive NPI Male Practitioner

Dr. Russell E Relyea , DDS

Dentist • Boise, ID

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Russell Relyea has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 17, 2010
NPI Deactivation Date July 03, 2024
Total Practice Duration ~14 Years of Practice (2010 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Russell Relyea, DDS was a registered Dentist practicing in Boise, ID. Throughout an active medical career spanning 14 years, Dr. Relyea provided care at the practice location at 8744 W FAIRVIEW AVE until profile deactivation on 2024-07-03.

Practice Location & Contact Primary Location

Practice Address

8744 W Fairview Ave

Boise, ID 837048207

Telephone 2083223010
Fax 2083229273
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Boise, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.0 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
108 Specialists

Practicing in Boise, ID (448 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License ID D1265

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. Najla Pajazetovic , DDS

Dentist - General Practice

NPI 1023598240

Doctor of Dental Surgery

Dr. Maryam Hesami , DDS

Dentist - General Practice

NPI 1134229784

Doctor of Dental Surgery

Jared Hill

Dentist - General Practice

NPI 1144320797
NPI 1164412706

Doctor of Dental Surgery

Dr. Loren Francis , DDS

Dentist - General Practice

NPI 1407944390

Doctor of Dental Surgery

Dr. Melinda Jensen , DMD

Dentist - General Practice

NPI 1801095310

Doctor of Dental Medicine

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated July 03, 2024

Record deactivated on July 03, 2024

NPI Profile Active March 06, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location March 06, 2013

Registered at 8744 W FAIRVIEW AVE, BOISE, ID 837048207 (Tel: 2083223010)

📍
Updated Business Mailing Address March 06, 2013

Registered at 16 ARCADE UNIT 198747, NASHVILLE, TN 372191994 (Tel: 6157500343)

👤
Provider Name / Credentials Updated March 06, 2013

Recorded as RUSSELL RELYEA, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2013

Dentist (License #D1265 in ID)

🟢
Initial NPI Registration & Enumeration December 17, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Russell Relyea. Be the first to share your experience!

Sign in to leave a review for Dr. Russell Relyea

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1407159197
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 17, 2010
Last Update: March 06, 2013
Deactivation Date: July 03, 2024

Mailing Address

16 Arcade Unit 198747

Nashville, TN 372191994

Phone: 6157500343

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.