NPI age
2 years
Enumerated 2023-08-17
● Active Type 2 · Organization
Chubbuck Kidz Dental Pc
Chubbuck Kidz Dental Pc is 1 of 114 dentist organizations in Idaho.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Evans
SR. Credentialing Specialist
Last NPPES update
2023-08-18
Source: monthly bulk 2026-05
How this organization compares
Across 114 active dentist providers in Idaho.
NPI age
2 years
↓ 11 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2023 → 2026
2023-08Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
371 E Chubbuck Rd
Chubbuck, ID 83202
Mailing address
371 E Chubbuck Rd
Chubbuck, ID 83202
Authorized official
Magdalena Evans
SR. Credentialing Specialist
📞 7202727558
Specialties
-
Dentist PrimaryAn age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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 →
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