P Praxis·MD
● Active Type 2 · Organization

Atwood Family Dentistry

Clinic/Center·Idaho Falls, ID· NPI 1669771069 · Enumerated 2011 · 15 years on NPI
Atwood Family Dentistry is 1 of 202 clinic/center organizations in Idaho.
NPI age
15 years
Enumerated 2011-03-24
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Atwood
President
Last NPPES update
2011-03-24
Source: monthly bulk 2026-05

How this organization compares

Across 202 active clinic/center providers in Idaho.

NPI age
15 years
↑ 7 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2011 → 2026

2011-03Enumerated in NPPES
2011 2026

Where they practice

Primary practice location
1759 W Broadway St
Idaho Falls, ID 834023045
📞 2083130520
Mailing address
1759 W Broadway St
Idaho Falls, ID 834023045
📞 2083130520

Authorized official

Brodie Steven Atwood, D.M.D
President
📞 2083130520

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    ID license #D4289 taxonomy 261QD0000X

Practice context

Multi-provider organization. 1 individual provider 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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