NPI age
4 years
Enumerated 2021-11-18
● Active Type 2 · Organization
Subpart
Childrens Dentistry Of Fruitland
Childrens Dentistry Of Fruitland 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
Mitchell
Business Manager
Last NPPES update
2021-11-18
Source: monthly bulk 2026-05
How this organization compares
Across 114 active dentist providers in Idaho.
NPI age
4 years
↓ 9 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2021 → 2026
2021-11Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
1950 N Whitley Dr
Fruitland, ID 836192143
Mailing address
1950 N Whitley Dr
Fruitland, ID 836192143
Authorized official
Rachel Mitchell
Business Manager
📞 2084675100
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
Single-site organization. Only one practice location on file.
Subpart of Children'S Dentistry Of Idaho, Pllc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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