P Praxis·MD
● Active Type 2 · Organization

Potlatch Family Dental, Pc

Dentist·Potlatch, ID· NPI 1245515832 · Enumerated 2011 · 14 years on NPI
Potlatch Family Dental, Pc is 1 of 1099 dentist organizations in Idaho.
NPI age
14 years
Enumerated 2011-10-15
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Pitt
Dentist
Last NPPES update
2011-10-15
Source: monthly bulk 2026-05

How this organization compares

Across 1099 active dentist providers in Idaho.

NPI age
14 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2011 → 2026

2011-10Enumerated in NPPES
2011 2026

Where they practice

Primary practice location
225 6th Street
Potlatch, ID 83855
📞 2088750441fax 2088750972
Mailing address
Po Box 601
Potlatch, ID 838550601
📞 2088750441fax 2088750972

Authorized official

Ammon Michael Pitt, D.D.S.
Dentist
📞 2088750441

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 #D3984 taxonomy 1223G0001X

Identifiers

TypeValueNotes
05 (ID) 8075010

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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