NPI age
18 years
Enumerated 2007-07-12
● Active
Type 1 · Individual
Kevin Richard Mudrow, D.D.S.
Mudrow is 1 of 38 dentist providers in Idaho Falls and 1 of 591 in Idaho.
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
ID, OR
2 states
Status
Active
No deactivations on record
Last NPPES update
2013-09-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 591 active dentist providers in Idaho.
NPI age
18 years
↑ 2 yr above median (16 yr)
State licenses
2 states
Top 88% — 11% of peers are multi-state
Subspecialties
0
17% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-07Enumerated in NPPES
2007
2026
Where they practice
Practice location
333 S Woodruff Ave, Suite F
Idaho Falls, ID 834014322
Mailing address
333 S Woodruff Ave, Suite F
Idaho Falls, ID 834014322
Specialties
-
Dentist PrimaryA 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...
Practice context
Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.
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