NPI age
19 years
Enumerated 2007-05-16
● Active
Type 1 · Individual
DR. Gary Michael Altenburg, DDS
Altenburg is 1 of 1 dentist providers in Eagle and 1 of 48 in Idaho.
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
ID, CA
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-07-07
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 48 active dentist providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
State licenses
2 states
Top 81% — 18% of peers are multi-state
Subspecialties
0
20% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-05Enumerated in NPPES
2007
2026
Where they practice
Practice location
450 W State St Ste 115
Eagle, ID 836167055
Mailing address
4940 N Soaring Ln
Eagle, ID 836161937
Specialties
-
Dentist PrimaryThe branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the...
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 48 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 provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.