Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LAURA BREANNA VIDETICH, DDS
ActiveDR. LAURA BREANNA VIDETICH, DDS is a Pediatric Dentistry healthcare provider located in BOISE, Idaho. NPI 1902381247 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · BOISE, ID
Registration Details
- NPI Number
- 1902381247
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 2, 2018 (7.8404299217557 yrs)
- Last Updated
- Sep 18, 2025
- License
-
D-PD-5274 (ID)
Practice Information
- Address
-
651 E PARKCENTER BLVDBOISE, ID, 837066575Browse ID providers · Browse ZIP 83706
- Phone
- 2083849872
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. RODMAN OWEN EMORY | D.D.S. | 1427012046 |
| SCOTT FREEMAN | DMD, PA | 1962456632 |
| DR. ROY H ROGERS | D.D.S., M.S. | 1235170044 |
| DR. JEFFREY K DAVIS | DDS | 1730197849 |
| DR. CHERYL HIGER | D.M.D. | 1801059209 |
| MALYNN RATTANASAMAY | DDS | 1740620731 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.