NPI age
3 years
Enumerated 2022-05-25
● Active Type 2 · Organization
Jerome Toothtown Pllc
Jerome Toothtown Pllc is 1 of 114 dentist organizations in Idaho.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ivie
Manager
Last NPPES update
2022-05-25
Source: monthly bulk 2026-05
How this organization compares
Across 114 active dentist providers in Idaho.
NPI age
3 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2022 → 2026
2022-05Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
1555 S Lincoln Ave
Jerome, ID 833386136
Mailing address
1555 S Lincoln Ave
Jerome, ID 833386136
Authorized official
Jesse Ivie
Manager
📞 2085399876
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Newell Elison, DDS Dentist NPI 1144516733
Specialties
-
Dentist PrimaryAn age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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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.