P Praxis·MD
● Active Type 2 · Organization

Mark A. Tall, P.A.

Dentist·Idaho Falls, ID· NPI 1275795395 · Enumerated 2008 · 17 years on NPI
Mark A. Tall, P.A. is 1 of 591 dentist organizations in Idaho.
NPI age
17 years
Enumerated 2008-06-30
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Tall
President
Last NPPES update
2008-06-30
Source: monthly bulk 2026-05

How this organization compares

Across 591 active dentist providers in Idaho.

NPI age
17 years
≈ at median (16 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2008 → 2026

2008-06Enumerated in NPPES
2008 2026

Where they practice

Primary practice location
2460 E 25th St
Idaho Falls, ID 834047549
📞 2085254780fax 2085254785
Mailing address
5600 Solitude Dr
Idaho Falls, ID 834068247
📞 2085244242fax 2085241139

Authorized official

Mark Asael Tall, D.D.S.
President
📞 2085254780

Individual providers at this organization

2 individual providers on file at this primary practice address.

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 #D-2018 taxonomy 122300000X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Sandcreek Dental
    Type code 3 recorded 2008-06-30

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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