NPI age
19 years
Enumerated 2007-04-19
● Active Type 2 · Organization
Idaho State University
Idaho State University is 1 of 54 dental hygienist organizations in Idaho.
Primary specialty
Dental Hygienist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Crawford
Program Director Dental Hygiene
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 54 active dental hygienist providers in Idaho.
NPI age
19 years
↑ 11 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-04Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
999 Martin Luther King JR. Way
Pocatello, ID 832098048
Mailing address
921 S. 8th Ave., Stop 8048
Pocatello, ID 832098048
Authorized official
Brian Robert Crawford, DDS
Program Director Dental Hygiene
📞 2082825275
Specialties
-
Dental Hygienist PrimaryAn individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. ...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 8060975 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
ISU Dental Hygiene Clinic
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 →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.