P Praxis·MD
● Active Type 2 · Organization

Teton Valley Dental Center Pllc

Clinic/Center·Driggs, ID· NPI 1063783868 · Enumerated 2012 · 14 years on NPI
Teton Valley Dental Center Pllc is 1 of 202 clinic/center organizations in Idaho.
NPI age
14 years
Enumerated 2012-01-25
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Allen
President
Last NPPES update
2012-01-25
Source: monthly bulk 2026-05

How this organization compares

Across 202 active clinic/center providers in Idaho.

NPI age
14 years
↑ 6 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2012 → 2026

2012-01Enumerated in NPPES
2012 2026

Where they practice

Primary practice location
235 E. Wallace Ave.
Driggs, ID 83442
📞 2083548181fax 2083548182
Mailing address
Po Box 791, 235 E., Wallace Ave.
Driggs, ID 834220791
📞 2083548181fax 2083548182

Authorized official

James C Allen, DDS
President
📞 2083548181

Specialties

  • Clinic/Center Primary
    Definition to come...
    ID license #D3634ID license #D1657 taxonomy 261QD0000X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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