P Praxis·MD
● Active Type 2 · Organization

Excellence In Dentistry PA

Dentist·Idaho Falls, ID· NPI 1881602266 · Enumerated 2006 · 19 years on NPI
Excellence In Dentistry PA is 1 of 1099 dentist organizations in Idaho.
NPI age
19 years
Enumerated 2006-08-03
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Godfrey
Dentist
Last NPPES update
2010-12-17
Source: monthly bulk 2026-05

How this organization compares

Across 1099 active dentist providers in Idaho.

NPI age
19 years
≈ at median (18 yr)
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
2515 Channing Way
Idaho Falls, ID 834047516
📞 2085294321fax 2085298609
Mailing address
2515 Channing Way
Idaho Falls, ID 834047516
📞 2085294321fax 2085298609

Authorized official

Duane Kent Godfrey, DDS
Dentist
📞 2085294321

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Dentist Primary
    A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
    ID license #D1637ID license #D3983 taxonomy 1223G0001X

Identifiers

TypeValueNotes
05 (ID) 807539000
05 (ID) 000755500

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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