NPI age
12 years
Enumerated 2013-09-24
● Active Type 2 · Organization
Kevin Mudrow DDS Pllc
Kevin Mudrow DDS Pllc is 1 of 591 dentist organizations in Idaho.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Mudrow
Owner/general Dentist
Last NPPES update
2013-09-24
Source: monthly bulk 2026-05
How this organization compares
Across 591 active dentist providers in Idaho.
NPI age
12 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2013 → 2026
2013-09Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
333 S Woodruff Ave
Idaho Falls, ID 834014322
Mailing address
333 S Woodruff Ave
Idaho Falls, ID 83401
Authorized official
Kevin Richard Mudrow, DDS
Owner/general Dentist
📞 2085242036
Individual providers at this organization
7 individual providers on file at this primary practice address.
- Scott Blake, DDS Dentist NPI 1376684175
- Andrew Bradbury, MD Family Medicine NPI 1447837364
- Vernon Gaffner, D.M.D. Dentist NPI 1376627802
- Jeffrey Johnson, DDS, MS Dentist NPI 1821130253
- Ryan McGraw, DC Chiropractor NPI 1417729500
- Kevin Mudrow, D.D.S. Dentist NPI 1114126992
- John Owen, DDS Dentist NPI 1609977891
Specialties
-
Dentist PrimaryA 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...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Mudrow Family Dental
Practice context
Multi-provider organization. 7 individual providers on file at this primary address.
Provyx · Custom healthcare lists
Need all 591 Dentist providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.