P Praxis·MD
● Active Type 1 · Individual

Brent William Cline

Dentist·Pocatello, ID· NPI 1487148979 · Enumerated 2018 · 7 years on NPI
Cline is 1 of 41 dentist providers in Pocatello and 1 of 591 in Idaho.
NPI age
7 years
Enumerated 2018-06-18
Primary specialty
Dentist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-06-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 591 active dentist providers in Idaho.

NPI age
7 years
↓ 9 yr below median (16 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
17% of peers hold subspecialties

NPI lifetime · 2018 → 2026

2018-06Enumerated in NPPES
2018 2026

Where they practice

Practice location
675 Yellowstone Ave
Pocatello, ID 832014511
📞 2084785700
Mailing address
467 Pheasant Ridge Dr Apt B
Pocatello, ID 832021755
📞 2082015780

Specialties

  • Dentist Primary
    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
    ID license #D4930 taxonomy 122300000X

Practice context

Part of a multi-provider practice. 1 other active provider shares 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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