P Praxis·MD
● Active Type 2 · Organization

Four Season Dental Pc

Dentist·Pocatello, ID· NPI 1215102439 · Enumerated 2008 · 18 years on NPI
Four Season Dental Pc is 1 of 1099 dentist organizations in Idaho.
NPI age
18 years
Enumerated 2008-04-29
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
John
Office Manager
Last NPPES update
2008-04-29
Source: monthly bulk 2026-05

How this organization compares

Across 1099 active dentist providers in Idaho.

NPI age
18 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2008 → 2026

2008-04Enumerated in NPPES
2008 2026

Where they practice

Primary practice location
115 E Chapel Rd
Pocatello, ID 83201
📞 2082376848fax 2082376811
Mailing address
115 E Chapel Rd
Pocatello, ID 83201
📞 2082376848fax 2082376811

Authorized official

Liz John
Office Manager
📞 2082376848

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Dentist Primary
    A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
    ID license #D1967ID license #D3808 taxonomy 1223G0001X

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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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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