P Praxis·MD
● Active Type 2 · Organization

Eagle River Dentistry

Clinic/Center·Eagle, ID· NPI 1972762342 · Enumerated 2008 · 17 years on NPI
Eagle River Dentistry is 1 of 202 clinic/center organizations in Idaho.
NPI age
17 years
Enumerated 2008-06-02
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Uniat
Owner
Last NPPES update
2008-06-02
Source: monthly bulk 2026-05

How this organization compares

Across 202 active clinic/center providers in Idaho.

NPI age
17 years
↑ 9 yr above median
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
325 E Shore Dr, Suite 100
Eagle, ID 836166583
📞 2089380280
Mailing address
325 E Shore Dr, Suite 100
Eagle, ID 836166583
📞 2089380280

Authorized official

Brooks Joseph Uniat, D.D.S.
Owner
📞 2089380280

Individual providers at this organization

1 individual provider on file at this primary practice address.

  • Shannon Miles, M.A., LMFT Marriage & Family Therapist NPI 1215112453

Specialties

  • Clinic/Center Primary
    Definition to come...
    ID license #D-3666 taxonomy 261QD0000X

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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