P Praxis·MD
● Active Type 2 · Organization

Kistler Dental Pllc

Dentist·Idaho Falls, ID· NPI 1780355453 · Enumerated 2021 · 4 years on NPI
Kistler Dental Pllc is 1 of 1099 dentist organizations in Idaho.
NPI age
4 years
Enumerated 2021-09-23
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kistler
Owner
Last NPPES update
2023-06-20
Source: monthly bulk 2026-05

How this organization compares

Across 1099 active dentist providers in Idaho.

NPI age
4 years
↓ 14 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2021 → 2026

2021-09Enumerated in NPPES
2021 2026

Where they practice

Primary practice location
2818 S 25th E
Idaho Falls, ID 834046509
📞 2082438391
Mailing address
Po Box 70887
Cleveland, OH 441900887

Authorized official

Amanda Kistler
Owner
📞 2082438391

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Dentist Primary
    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.
    taxonomy 1223G0001X

Practice context

Multi-provider organization. 2 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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