NPI age
16 years
Enumerated 2010-04-19
● Active Type 2 · Organization
Teton Valley Dental Center Pllc
Teton Valley Dental Center 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
Brizzee
Office Manager
Last NPPES update
2010-04-19
Source: monthly bulk 2026-05
How this organization compares
Across 202 active clinic/center providers in Idaho.
NPI age
16 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2010 → 2026
2010-04Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
235 E. Wallace Ave.
Driggs, ID 834220791
Mailing address
Po Box 791, 235 E Wallace Ave.
Driggs, ID 834220791
Authorized official
Susette Brizzee
Office Manager
📞 2083548181
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 001212401 | |
| 05 (ID) | 80597001 |
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.