NPI age
7 years
Enumerated 2019-04-18
● Active Type 2 · Organization
Eagle Dental Partnership Pllc
Eagle Dental Partnership Pllc is 1 of 1099 dentist organizations in Idaho.
Primary specialty
Dentist
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Gardoski
Insurance Administrator
Last NPPES update
2025-08-11
Source: monthly bulk 2026-05
How this organization compares
Across 1099 active dentist providers in Idaho.
NPI age
7 years
↓ 11 yr below median
Practice locations
2
1 secondary on file
Subspecialties
0
NPI lifetime · 2019 → 2026
2019-04Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
577 E State St
Eagle, ID 836165938
Mailing address
577 E State St
Eagle, ID 836165938
Additional practice locations
1 secondary location on file with NPPES.
Location 2
450 W State St Ste 115
Eagle, ID 836167055
Authorized official
Leah M. Gardoski
Insurance Administrator
📞 2089393500
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Natalie Little, DDS Dentist NPI 1093519209
- Gilbert Simpson, D.M.D. Dentist NPI 1912072364
Specialties
-
Dentist PrimaryA general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Ascend Dental
Practice context
Multi-provider organization. 2 individual providers on file at this primary address. Plus 1 secondary practice location.
Provyx · Custom healthcare lists
Need all 1099 Dentist providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- 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.