NPI age
13 years
Enumerated 2012-06-04
● Active Type 2 · Organization
Andrew Stoddard Dental Services, Pllc
Andrew Stoddard Dental Services, Pllc is 1 of 202 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Stoddard
Sole Member
Last NPPES update
2012-06-04
Source: monthly bulk 2026-05
How this organization compares
Across 202 active clinic/center providers in Idaho.
NPI age
13 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2012 → 2026
2012-06Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
1525 Baldy Ave
Pocatello, ID 832017117
Mailing address
1525 Baldy Ave
Pocatello, ID 832017117
Authorized official
Andrew Stoddard, DDS
Sole Member
📞 2082380011
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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