DESERT VALLEY DENTISTRY
NPI 1083143739
Clinic/Center - Dental in Pocatello, ID

Active since June 07, 2017
716 YELLOWSTONE AVE, POCATELLO, ID 83201(208) 478-1295(208) 232-5490 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jun 7, 2017 (2 updates tracked since 2017).

About Desert Valley Dentistry NPPES

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

DESERT VALLEY DENTISTRY (NPI 1083143739) is a healthcare organization registered as a dental in Pocatello, Idaho and active in the NPI registry since June 2017. The organization lists Larry Walden Bybee, Dentist, as its authorized official.

NPPES Registry Identity

NPI1083143739
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameDESERT VALLEY DENTISTRY
Location Address716 YELLOWSTONE AVEPocatello, ID 83201-4407
Mailing Address716 Yellowstone AvePocatello, ID 83201-4407 · (208) 478-1295 · Fax (208) 232-5490
Fax(208) 232-5490
Organization SubpartNo
Authorized OfficialLarry Walden BybeeDentist · (208) 478-1295
Enumeration DateJune 7, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1083143739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in ID · D1664
716 YELLOWSTONE AVE, Pocatello, ID 83201

Other Providers at the Same Location NPPES 9

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

Dentist (Pediatric Dentistry)
716 YELLOWSTONE AVE
POCATELLO, ID 83201
Dentist (Periodontics)
716 YELLOWSTONE AVE
POCATELLO, ID 83201
Dentist (Periodontics)
716 YELLOWSTONE AVE
POCATELLO, ID 83201
Dentist
716 YELLOWSTONE AVE
POCATELLO, ID 83201
Dentist (Pediatric Dentistry)
716 YELLOWSTONE AVE
POCATELLO, ID 83201
Nurse Practitioner (Family)
716 YELLOWSTONE AVE
POCATELLO, ID 83201
Dentist (General Practice)
716 YELLOWSTONE AVE
POCATELLO, ID 83201
Dentist (Pediatric Dentistry)
716 YELLOWSTONE AVE
POCATELLO, ID 83201

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 Desert Valley Dentistry's NPI number?

The NPI number for Desert Valley Dentistry is 1083143739. It was assigned to this organization in the NPPES registry on June 7, 2017.

Where is Desert Valley Dentistry located?

Desert Valley Dentistry is located at 716 Yellowstone Ave, Pocatello, ID 83201. The listed phone number is (208) 478-1295.

What is Desert Valley Dentistry'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 Desert Valley Dentistry was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.