NPI age
17 years
Enumerated 2008-06-03
● Active Type 2 · Organization
Elison Dental Center
Elison Dental Center is 1 of 1099 dentist organizations in Idaho.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Elison
President
Last NPPES update
2008-06-03
Source: monthly bulk 2026-05
How this organization compares
Across 1099 active dentist providers in Idaho.
NPI age
17 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-06Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
3656 Washington Pkwy
Idaho Falls, ID 834047573
Mailing address
3656 Washington Pkwy
Idaho Falls, ID 834047573
Authorized official
Michael Aaron Elison, DMD
President
📞 2085227216
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Matthew Black, H.I.S. Hearing Instrument Specialist NPI 1639718745
- Gavin Horne Hearing Instrument Specialist NPI 1306645643
Specialties
-
Dentist PrimaryA 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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 806380000 |
Practice context
Multi-provider organization. 2 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.