P Praxis·MD
● Active Type 1 · Individual

Brent D Lee, D.D.S., M.S.

Dentist·Pocatello, ID· NPI 1154495802 · Enumerated 2006 · 19 years on NPI
Lee is 1 of 3 dentist providers in Pocatello and 1 of 64 in Idaho.
NPI age
19 years
Enumerated 2006-11-17
Primary specialty
Dentist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 64 active dentist providers in Idaho.

NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
17% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-11Enumerated in NPPES
2006 2026

Where they practice

Practice location
165 N 14th Ave
Pocatello, ID 832014146
📞 2082322807fax 2082328118
Mailing address
Po Box 6033, 165 N 14th Ave
Pocatello, ID 832056033
📞 2082322807fax 2082328118

Specialties

  • Dentist Primary
    The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
    ID license #D1494 taxonomy 1223S0112X

Identifiers

TypeValueNotes
01 (ID) 000010009592 RAILROAD
01 (ID) 6M097 BLUE CROSS

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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