P Praxis·MD
● Active Type 1 · Individual

DR. Matthew P Godfrey, D.D.S.

Dentist·Pocatello, ID· NPI 1215376504 · Enumerated 2013 · 12 years on NPI
Godfrey is 1 of 41 dentist providers in Pocatello and 1 of 591 in Idaho.
NPI age
12 years
Enumerated 2013-06-19
Primary specialty
Dentist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-08-17
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 591 active dentist providers in Idaho.

NPI age
12 years
↓ 4 yr below median (16 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
17% of peers hold subspecialties

NPI lifetime · 2013 → 2026

2013-06Enumerated in NPPES
2013 2026

Where they practice

Practice location
1598 Delphic Way
Pocatello, ID 832012232
📞 2086371300fax 2086370798
Mailing address
1598 Delphic Way
Pocatello, ID 832012232
📞 2086371300fax 2086370798

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 #D4490 taxonomy 122300000X

Practice context

Part of a multi-provider practice. 6 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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