● 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
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.
Practice context
Single-site organization. Only one practice location on file.
Provyx · Custom healthcare lists
Need all 202 Clinic/Center 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 organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.