NPI age
16 years
Enumerated 2009-07-06
● Active Type 2 · Organization
Mountain River Dental
Mountain River Dental 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
George
Owner
Last NPPES update
2009-07-06
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 · 2009 → 2026
2009-07Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
404 Lupine Drive
Victor, ID 834550487
Mailing address
404 Lupine Drive P.o. Box 487
Victor, ID 834550487
Authorized official
Richard H George, D.M.D.
Owner
📞 2087878100
Specialties
-
Clinic/Center PrimaryDefinition to come...
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.