P Praxis·MD
● Active Type 2 · Organization

Idaho Falls Dental Group

Dentist·Idaho Falls, ID· NPI 1497803696 · Enumerated 2007 · 19 years on NPI
Idaho Falls Dental Group is 1 of 591 dentist organizations in Idaho.
NPI age
19 years
Enumerated 2007-01-07
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Larsen
Office Manager
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05

How this organization compares

Across 591 active dentist providers in Idaho.

NPI age
19 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
2300 E 17th St
Idaho Falls, ID 834046504
📞 2085258383fax 2085236419
Mailing address
Po Box 2046
Idaho Falls, ID 834032046
📞 2085258383fax 2085236419

Authorized official

Tracy Larsen
Office Manager
📞 2085258383

Individual providers at this organization

11 individual providers on file at this primary practice address.

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...
    taxonomy 122300000X

Practice context

Multi-provider organization. 11 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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