NPI age
15 years
Enumerated 2010-09-30
● Active Type 2 · Organization
Center For Dental Excellence Llc
Center For Dental Excellence Llc is 1 of 202 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hodge
Owner
Last NPPES update
2010-11-18
Source: monthly bulk 2026-05
How this organization compares
Across 202 active clinic/center providers in Idaho.
NPI age
15 years
↑ 7 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2010 → 2026
2010-09Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
1525 Baldy Ave
Pocatello, ID 832017117
Mailing address
1525 Baldy Ave
Pocatello, ID 832017117
Authorized official
Jeremy L Hodge, DMD
Owner
📞 2082380011
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.