P Praxis·MD
● Active Type 1 · Individual

DR. Greg B Godfrey, D.D.S.

Dentist·Twin Falls, ID· NPI 1790003960 · Enumerated 2010 · 16 years on NPI
Godfrey is 1 of 15 dentist providers in Twin Falls and 1 of 591 in Idaho.
NPI age
16 years
Enumerated 2010-05-12
Primary specialty
Dentist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-03-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 591 active dentist providers in Idaho.

NPI age
16 years
≈ at median (16 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
17% of peers hold subspecialties

NPI lifetime · 2010 → 2026

2010-05Enumerated in NPPES
2010 2026

Where they practice

Practice location
1186 Eastland Dr. North, Ste A
Twin Falls, ID 83301
📞 2087336074
Mailing address
1186 Eastland Dr. North, Ste A
Twin Falls, ID 83301
📞 2083583674

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 #D-4423 taxonomy 122300000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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