P Praxis·MD
● Active Type 2 · Organization

Avondale Dental Center, L.l.c.

Dentist·Hayden Lake, ID· NPI 1174758619 · Enumerated 2009 · 16 years on NPI
Avondale Dental Center, L.l.c. is 1 of 591 dentist organizations in Idaho.
NPI age
16 years
Enumerated 2009-05-28
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Robson
Owner
Last NPPES update
2009-05-28
Source: monthly bulk 2026-05

How this organization compares

Across 591 active dentist providers in Idaho.

NPI age
16 years
≈ at median (16 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2009 → 2026

2009-05Enumerated in NPPES
2009 2026

Where they practice

Primary practice location
1683 E. Miles Ave.
Hayden Lake, ID 838359109
📞 2087724066
Mailing address
1683 E Miles Ave
Hayden Lake, ID 838359109
📞 2087724066

Authorized official

James A Robson, DMD
Owner
📞 2087724066

Specialties

  • Dentist Primary
    A 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...
    ID license #D1572 taxonomy 122300000X

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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