P Praxis·MD
● Active Type 1 · Individual

Eduardo Dominguez Lino, RDH

Dental Hygienist·Mountain Home, ID· NPI 1407638406 · Enumerated 2023 · 2 years on NPI
Dominguez Lino is 1 of 6 dental hygienist providers in Mountain Home and 1 of 54 in Idaho.
NPI age
2 years
Enumerated 2023-10-16
Primary specialty
Dental Hygienist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-10-16
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 54 active dental hygienist providers in Idaho.

NPI age
2 years
↓ 5 yr below median (7 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2023 → 2026

2023-10Enumerated in NPPES
2023 2026

Where they practice

Practice location
2280 American Legion Blvd
Mountain Home, ID 836473142
📞 2085873988
Mailing address
5510 West Targee Street
Boise, ID 83705
📞 2089066708

Specialties

  • Dental Hygienist Primary
    An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. ...
    ID license #DH-3683 taxonomy 124Q00000X

Practice context

Part of a multi-provider practice. 13 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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