P Praxis·MD
● Active Type 1 · Individual

Scott Stephenson, D.M.D.

Dentist·Pocatello, ID· NPI 1669809422 · Enumerated 2013 · 12 years on NPI
Stephenson is 1 of 41 dentist providers in Pocatello and 1 of 591 in Idaho.
NPI age
12 years
Enumerated 2013-10-10
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-07-21
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
12 years
↓ 4 yr below median (16 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
1
In the 17% of peers with subspecialties

NPI lifetime · 2013 → 2026

2013-10Enumerated in NPPES
2013 2026

Where they practice

Practice location
485 E Alameda Rd
Pocatello, ID 832013609
📞 2089043966fax 2082348056
Mailing address
485 E Alameda Rd
Pocatello, ID 832013609
📞 2089043966fax 2082348056

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 #D4540 taxonomy 122300000X
  • Dentist
    A 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.
    ID license #D-4540 taxonomy 1223G0001X

Practice context

Part of a multi-provider practice. 1 other active provider shares 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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