NPI age
2 years
Enumerated 2023-05-31
● Active Type 2 · Organization
Subpart
Idaho Dental Professionals, P.c.
Idaho Dental Professionals, P.c. is 1 of 1099 dentist organizations in Idaho.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Huerta
Credentialing Coordinator
Last NPPES update
2023-05-31
Source: monthly bulk 2026-05
How this organization compares
Across 1099 active dentist providers in Idaho.
NPI age
2 years
↓ 16 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
1097 N Jacksonmill Ave
Kuna, ID 836342086
Mailing address
1097 N Jacksonmill Ave
Kuna, ID 836342086
Authorized official
Belinda Huerta
Credentialing Coordinator
📞 2175402100
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Logan Fox, DMD Dentist NPI 1861236747
Specialties
-
Dentist PrimaryA 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.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Falcon Point Dental Care
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
Subpart of Idaho Dental Professionals, P.c..
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- 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.