P Praxis·MD
● Active Type 2 · Organization

Andrea S Radabaugh DDS Pllc

Dentist·Craigmont, ID· NPI 1811281397 · Enumerated 2011 · 14 years on NPI
Andrea S Radabaugh DDS Pllc is 1 of 591 dentist organizations in Idaho.
NPI age
14 years
Enumerated 2011-06-02
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Radabaugh
Owner Dentist
Last NPPES update
2011-06-21
Source: monthly bulk 2026-05

How this organization compares

Across 591 active dentist providers in Idaho.

NPI age
14 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2011 → 2026

2011-06Enumerated in NPPES
2011 2026

Where they practice

Primary practice location
420 Division Ave
Craigmont, ID 83523
📞 2089245830
Mailing address
Po Box 218
Craigmont, ID 835230218
📞 5303337853

Authorized official

Andrea S Radabaugh, DDS
Owner Dentist
📞 5303337853

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 #D4296 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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