P Praxis·MD
● Active Type 2 · Organization

Pocatello Dental Excellence

Clinic/Center·Pocatello, ID· NPI 1366134397 · Enumerated 2023 · 2 years on NPI
Pocatello Dental Excellence is 1 of 202 clinic/center organizations in Idaho.
NPI age
2 years
Enumerated 2023-05-26
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Frost
Dentist
Last NPPES update
2023-05-26
Source: monthly bulk 2026-05

How this organization compares

Across 202 active clinic/center providers in Idaho.

NPI age
2 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2023 → 2026

2023-05Enumerated in NPPES
2023 2026

Where they practice

Primary practice location
1525 Baldy Ave
Pocatello, ID 832017117
📞 2082380011
Mailing address
1525 Baldy Ave
Pocatello, ID 832017117
📞 2082380011

Authorized official

Kyle Frost, DDS
Dentist
📞 2085213449

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QD0000X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Dental Excellence
    Type code 3 recorded 2023-05-26

Practice context

Single-site organization. Only one practice location on file.

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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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