P Praxis·MD
● Active Type 2 · Organization

Famliy Dental Health Center

Dentist·Idaho Falls, ID· NPI 1679745269 · Enumerated 2008 · 18 years on NPI
Famliy Dental Health Center is 1 of 591 dentist organizations in Idaho.
NPI age
18 years
Enumerated 2008-03-24
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Staley
Partner
Last NPPES update
2008-06-19
Source: monthly bulk 2026-05

How this organization compares

Across 591 active dentist providers in Idaho.

NPI age
18 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2008 → 2026

2008-03Enumerated in NPPES
2008 2026

Where they practice

Primary practice location
200 N Woodruff Ave
Idaho Falls, ID 834014334
📞 2085290120
Mailing address
200 N Woodruff Ave
Idaho Falls, ID 834014334
📞 2085290120

Authorized official

Galen Jay Staley, DDS
Partner
📞 2085290120

Individual providers at this organization

3 individual providers on file at this primary practice address.

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 #D3064ID license #D1628ID license #D3614ID license #D3038 taxonomy 122300000X

Identifiers

TypeValueNotes
05 (ID) 806335900
05 (ID) 806939100
05 (ID) 02740700
05 (ID) 00274600

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Burtenshaw Craig A & G Staley GPS
    Type code 3 recorded 2008-06-19

Practice context

Multi-provider organization. 3 individual providers 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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