NPI age
17 years
Enumerated 2008-07-25
● Active Type 2 · Organization
Jack C. Kulm DMD PA
Jack C. Kulm DMD PA is 1 of 591 dentist organizations in Idaho.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kulm
President
Last NPPES update
2008-07-25
Source: monthly bulk 2026-05
How this organization compares
Across 591 active dentist providers in Idaho.
NPI age
17 years
≈ at median (16 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-07Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
410 N Idaho St
Wendell, ID 83355
Mailing address
410 N Idaho St
Wendell, ID 83355
Authorized official
Jack Kulm, DMD
President
📞 2085365441
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Jeremiah Funk, DDS Dentist NPI 1649535493
- Jack Kulm, DMD PA Dentist NPI 1275641540
- Samantha Marshall, MD Internal Medicine NPI 1467410837
- Mark Spencer, MD Family Medicine NPI 1497719728
Specialties
-
Dentist PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 002488200 |
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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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.