P Praxis·MD
● Active Type 1 · Individual

Anthony Ewell-Kollmann, DMD

Dentist·Mountain Home Afb, ID· NPI 1952885121 · Enumerated 2018 · 7 years on NPI
Ewell-Kollmann is 1 of 5 dentist providers in Mountain Home Afb and 1 of 591 in Idaho.
NPI age
7 years
Enumerated 2018-09-24
Primary specialty
Dentist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-09-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 591 active dentist providers in Idaho.

NPI age
7 years
↓ 9 yr below median (16 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
17% of peers hold subspecialties

NPI lifetime · 2018 → 2026

2018-09Enumerated in NPPES
2018 2026

Where they practice

Practice location
90 Hope Dr
Mountain Home Afb, ID 836481057
📞 2088287355
Mailing address
7015 Imlay Loop
Mountain Home Afb, ID 836484801

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
2630 Central Ave
Eielson Afb, AK 99702
📞 9073776569
Location 3
Offutt Air Force Base
Apo, AA 68113
📞 4022941110

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...
    TX license #34647 taxonomy 122300000X

Practice context

Part of a multi-provider practice. 30 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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