P Praxis·MD
● Active Type 1 · Individual

Scott Charles Grilliot, DMD

Dentist·Pocatello, ID· NPI 1629811278 · Enumerated 2024 · 1 years on NPI
Grilliot is 1 of 41 dentist providers in Pocatello and 1 of 591 in Idaho.
NPI age
1 years
Enumerated 2024-06-13
Primary specialty
Dentist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-06-24
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
1 years
↓ 15 yr below median (16 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
17% of peers hold subspecialties

NPI lifetime · 2024 → 2026

2024-06Enumerated in NPPES
2024 2026

Where they practice

Practice location
921 S 8th Ave Stop 8088
Pocatello, ID 832094008
📞 2082821040fax 2082821040
Mailing address
1500 E Venture Way Apt 3104
Pocatello, ID 832011203
📞 3098305306fax 2082821040

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 #D-5639 taxonomy 122300000X

Practice context

Part of a multi-provider practice. 7 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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