NPI age
— years
Enumerated 2025-05-28
● Active Type 2 · Organization
Fellows Family Dental - Ad Llc
Fellows Family Dental - Ad Llc is 1 of 202 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Parker
Office Manager
Last NPPES update
2025-05-28
Source: monthly bulk 2026-05
How this organization compares
Across 202 active clinic/center providers in Idaho.
NPI age
0 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2025 → 2026
2025-05Enumerated in NPPES
2025
2026
Where they practice
Primary practice location
1598 Delphic Way Ste B
Pocatello, ID 832012200
Mailing address
1598 Delphic Way Ste B
Pocatello, ID 832012200
Authorized official
Malinda Parker
Office Manager
📞 2082374357
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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