P Praxis·MD
● Active Type 2 · Organization

Advanced Family Dentistry Pc

Dentist·Nampa, ID· NPI 1790796134 · Enumerated 2006 · 19 years on NPI
Advanced Family Dentistry Pc is 1 of 591 dentist organizations in Idaho.
NPI age
19 years
Enumerated 2006-08-10
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Galvez
President
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05

How this organization compares

Across 591 active dentist providers in Idaho.

NPI age
19 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
1603-D 12th Ave Rd
Nampa, ID 83686
📞 2084680590fax 2084689910
Mailing address
1603-D 12th Ave Rd
Nampa, ID 83686
📞 2084680590fax 2084689910

Authorized official

Marco Vinicio Galvez, DDS
President
📞 2084680590

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 #D3047 taxonomy 122300000X

Practice context

Single-site organization. Only one practice location on file.

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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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