P Praxis·MD
● Active Type 2 · Organization

Oak Mountain Dental Pllc

Dentist·Pocatello, ID· NPI 1861837478 · Enumerated 2013 · 13 years on NPI
Oak Mountain Dental Pllc is 1 of 591 dentist organizations in Idaho.
NPI age
13 years
Enumerated 2013-05-09
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Richards
Dentist
Last NPPES update
2021-09-24
Source: monthly bulk 2026-05

How this organization compares

Across 591 active dentist providers in Idaho.

NPI age
13 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2013 → 2026

2013-05Enumerated in NPPES
2013 2026

Where they practice

Primary practice location
135 Warren Ave
Pocatello, ID 832014621
📞 2082376453fax 2082334227
Mailing address
135 Warren Ave
Pocatello, ID 832014621
📞 2082376453fax 2082334227

Authorized official

Jake R Richards, DDS
Dentist
📞 2082376453

Individual providers at this organization

2 individual providers on file at this primary practice address.

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-4484 taxonomy 122300000X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • JAKE R RICHARDS DDS, PLLC
    Type code 4 recorded 2021-09-24

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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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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