NPI age
8 years
Enumerated 2017-12-29
● Active Type 2 · Organization
Oneida Family Dental Llc
Oneida Family Dental Llc is 1 of 1099 dentist organizations in Idaho.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Clark
Office Manager
Last NPPES update
2017-12-29
Source: monthly bulk 2026-05
How this organization compares
Across 1099 active dentist providers in Idaho.
NPI age
8 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2017 → 2026
2017-12Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
150 S Main St Apt 16
Malad City, ID 832521405
Mailing address
150 S Main St Apt 16
Malad City, ID 832521405
Authorized official
Shenell Clark
Office Manager
📞 2089043614
Specialties
-
Dentist PrimaryA 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.
Practice context
Single-site organization. Only one practice location on file.
Provyx · Custom healthcare lists
Need all 1099 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.