NPI age
18 years
Enumerated 2008-03-17
● Active Type 2 · Organization
Mountain View Dental Clinic
Mountain View Dental Clinic is 1 of 202 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Walker
Owner
Last NPPES update
2009-05-26
Source: monthly bulk 2026-05
How this organization compares
Across 202 active clinic/center providers in Idaho.
NPI age
18 years
↑ 10 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
390 South 3rd West
Soda Springs, ID 83276
Mailing address
390 South 3rd West
Soda Springs, ID 83276
Authorized official
Jerry H Walker, DMD
Owner
📞 2085472220
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Jerry Walker, DMD Dentist NPI 1154310373
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 807893200 | |
| 01 (ID) | 9203147 | IDAHO SMILES-MEDICAID |
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 →
- 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.