P Praxis·MD
● Active Type 2 · Organization

Affordable Family Dentistry Pc

Dentist·Idaho Falls, ID· NPI 1245560945 · Enumerated 2010 · 16 years on NPI
Affordable Family Dentistry Pc is 1 of 1099 dentist organizations in Idaho.
NPI age
16 years
Enumerated 2010-01-04
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Jenkins
President
Last NPPES update
2023-10-20
Source: monthly bulk 2026-05

How this organization compares

Across 1099 active dentist providers in Idaho.

NPI age
16 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2010 → 2026

2010-01Enumerated in NPPES
2010 2026

Where they practice

Primary practice location
1400 E 17th St
Idaho Falls, ID 834046269
📞 2088819177fax 8667670878
Mailing address
1400 E 17th St
Idaho Falls, ID 834046269
📞 2088819177fax 8667670878

Authorized official

Tracy Dean Jenkins, DDS
President
📞 2088819177

Individual providers at this organization

2 individual providers 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 #D-4216 taxonomy 1223G0001X

Practice context

Multi-provider organization. 2 individual providers 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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