NPI age
6 years
Enumerated 2019-06-24
● Active Type 2 · Organization
Idaho Falls Pediatric Dentistry, Pllc
Idaho Falls Pediatric Dentistry, Pllc is 1 of 114 dentist organizations in Idaho.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Housley
Pediatric Dentist, Owner
Last NPPES update
2025-05-28
Source: monthly bulk 2026-05
How this organization compares
Across 114 active dentist providers in Idaho.
NPI age
6 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2019 → 2026
2019-06Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
3015 Eagle Dr
Ammon, ID 834061273
Mailing address
3387 Merlin Dr
Idaho Falls, ID 834047405
Authorized official
Kailey Anne Housley, DDS
Pediatric Dentist, Owner
📞 2084193622
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Kailey Housley, DDS Dentist NPI 1831504125
Specialties
-
Dentist PrimaryAn age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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