P Praxis·MD
● Active Type 1 · Individual

Easton Johnson Trejo, DDS

Dentist·Mountain Home Afb, ID· NPI 1366037962 · Enumerated 2021 · 5 years on NPI
Trejo is 1 of 6 dentist providers in Mountain Home Afb and 1 of 1099 in Idaho.
NPI age
5 years
Enumerated 2021-03-04
Primary specialty
Dentist
Plus 2 subspecialties
Licensed in
TX, ID, UT
3 states
Status
Active
No deactivations on record
Last NPPES update
2025-07-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1099 active dentist providers in Idaho.

NPI age
5 years
↓ 13 yr below median (18 yr)
State licenses
3 states
Top 92% — 7% of peers are multi-state
Subspecialties
0
12% of peers hold subspecialties

NPI lifetime · 2021 → 2026

2021-03Enumerated in NPPES
2021 2026

Where they practice

Practice location
90 Hope Dr Bldg 6000
Mountain Home Afb, ID 836481062
📞 2088287300
Mailing address
8447 Bear Loop
Mountain Home Afb, ID 836485101
📞 5129630859

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.
    TX license #37873ID license #D-5603UT license #13899316-9925 taxonomy 1223G0001X

Practice context

Part of a multi-provider practice. 53 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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