P Praxis·MD
● Active Type 2 · Organization

208 Dental

Dentist·Meridian, ID· NPI 1356945539 · Enumerated 2020 · 5 years on NPI
208 Dental is 1 of 1099 dentist organizations in Idaho.
NPI age
5 years
Enumerated 2020-11-28
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Goettsche
Manager
Last NPPES update
2022-07-11
Source: monthly bulk 2026-05

How this organization compares

Across 1099 active dentist providers in Idaho.

NPI age
5 years
↓ 13 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2020 → 2026

2020-11Enumerated in NPPES
2020 2026

Where they practice

Primary practice location
53 E Calderwood Dr # 110
Meridian, ID 836427440
📞 2085018860fax 2085018862
Mailing address
53 E Calderwood Dr # 110
Meridian, ID 836427440
📞 2085018860fax 2085018862

Authorized official

Eric Reid Goettsche, DMD
Manager
📞 2085018860

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Dentist Primary
    A 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.
    taxonomy 1223G0001X

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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