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MADISON PEDIATRIC DENTISTRY
NPI 1013188804
Dentist - Pediatric Dentistry in Rexburg, ID

Active since March 19, 2008
859 S YELLOWSTONE HWY STE 1202, REXBURG, ID 83440(208) 552-5439(208) 552-5440 Get Directions Write a Review

NPPES record last updated: February 12, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Madison Pediatric Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADISON PEDIATRIC DENTISTRY (NPI 1013188804) is a healthcare organization registered as a pediatric dentistry in Rexburg, Idaho and active in the NPI registry since March 2008. The organization lists Ross N Hugues, Owner/pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1013188804
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameNIGHT BOAT PLLC
Location Address859 S YELLOWSTONE HWY STE 1202Rexburg, ID 83440-6201
Mailing Address859 S Yellowstone Hwy Ste 1202Rexburg, ID 83440-6201 · (208) 552-5439 · Fax (208) 552-5440
Phone(208) 552-5439
Fax(208) 552-5440
Organization SubpartNo
Authorized OfficialRoss N HuguesOwner/pediatric Dentist · (208) 552-5439
Enumeration DateMarch 19, 2008
Last NPPES UpdateFebruary 12, 2016
✔ NPI 1013188804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
859 S YELLOWSTONE HWY STE 1202, Rexburg, ID 83440
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Other Names 1

Doing Business AsMadison Pediatric Dentistry

Other Identifiers 4

Other9202516Medicaid - Idaho Smiles
Medicaid807793700ID
Other6P475ID · Bluecross Of Idaho
Other000010165079ID · Regence Blueshield Of Id

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. COURTNEY MATTHEW JACKSON D.D.S.
Dentist (Pediatric Dentistry)
859 S YELLOWSTONE HWY STE 1202
REXBURG, ID 83440
Madison County (208) 552-5439

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Night Boat PLLC's NPI number?

The NPI number for Night Boat PLLC is 1013188804. It was assigned to this organization in the NPPES registry on March 19, 2008. The provider is doing business as Madison Pediatric Dentistry.

Where is Night Boat PLLC located?

Night Boat PLLC is located at 859 S Yellowstone Hwy Ste 1202, Rexburg, ID 83440. The listed phone number is (208) 552-5439.

What is Night Boat PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Night Boat PLLC was last updated on February 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.