NPI age
13 years
Enumerated 2012-08-09
● Active Type 2 · Organization
Subpart
Eagle Rock Dental Care Pllc
Eagle Rock Dental Care Pllc 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
Chapple
Office Administrator
Last NPPES update
2012-08-24
Source: monthly bulk 2026-05
How this organization compares
Across 1099 active dentist providers in Idaho.
NPI age
13 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2012 → 2026
2012-08Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
2205 Channing Way Ste B
Idaho Falls, ID 834048016
Mailing address
2205 Channing Way Ste B
Idaho Falls, ID 834048016
Authorized official
Trudee L Chapple
Office Administrator
📞 2085235400
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.
Subpart of Eagle Rock Dental Care Pllc.
Provyx · Custom healthcare lists
Need all 1099 Dentist providers in Idaho?
Provyx verifies the list to your scope. Business emails and direct lines are looked up at delivery, validated, and not stored.
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.