NPI age
4 years
Enumerated 2021-06-16
● Active Type 2 · Organization
Enduradent Pllc
Enduradent Pllc 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
Tall
General Dentist
Last NPPES update
2021-06-16
Source: monthly bulk 2026-05
How this organization compares
Across 202 active clinic/center providers in Idaho.
NPI age
4 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2021 → 2026
2021-06Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
33 East Harper Ave
Driggs, ID 83422
Mailing address
1805 Eagles Homestead Dr
Ammon, ID 834064757
Authorized official
Jacob A Tall, DMD
General Dentist
📞 2085217888
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Ski Hill Dental
Practice context
Single-site organization. Only one practice location on file.
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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.