TETON VALLEY DENTAL CENTER PLLC
NPI 1063783868
Clinic/Center - Dental in Driggs, ID

Active since January 25, 2012
235 E. WALLACE AVE., DRIGGS, ID 83442(208) 354-8181(208) 354-8182 Get Directions Write a Review

NPPES record last updated: January 25, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Teton Valley Dental Center Pllc NPPES

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

TETON VALLEY DENTAL CENTER PLLC (NPI 1063783868) is a healthcare organization registered as a dental in Driggs, Idaho and active in the NPI registry since January 2012. The organization lists James C Allen, President, as its authorized official.

NPPES Registry Identity

NPI1063783868
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameTETON VALLEY DENTAL CENTER PLLC
Location Address235 E. WALLACE AVE.Driggs, ID 83442
Mailing AddressPo Box 791, 235 E., Wallace Ave.Driggs, ID 83422-0791 · (208) 354-8181 · Fax (208) 354-8182
Fax(208) 354-8182
Organization SubpartNo
Authorized OfficialJames C AllenPresident · (208) 354-8181
Enumeration DateJanuary 25, 2012
NPI 1063783868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
Licenses Licensed in ID · D3634 Licensed in ID · D1657
235 E. WALLACE AVE., Driggs, ID 83442

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 Teton Valley Dental Center PLLC's NPI number?

The NPI number for Teton Valley Dental Center PLLC is 1063783868. It was assigned to this organization in the NPPES registry on January 25, 2012.

Where is Teton Valley Dental Center PLLC located?

Teton Valley Dental Center PLLC is located at 235 E. Wallace Ave., Driggs, ID 83442. The listed phone number is (208) 354-8181.

What is Teton Valley Dental Center PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Teton Valley Dental Center PLLC was last updated on January 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.