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MADISON PARK DENTAL CENTER PLLC
NPI 1093849226
Dentist in Rexburg, ID

Active since March 16, 2007
35 MADISON PROFESSIONAL PARK, REXBURG, ID 83440(208) 356-5601(208) 356-8788 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Madison Park Dental Center Pllc NPPES

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

MADISON PARK DENTAL CENTER PLLC (NPI 1093849226) is a healthcare organization registered as a dentist in Rexburg, Idaho and active in the NPI registry since March 2007. The organization lists Robert L Walker, President, as its authorized official.

NPPES Registry Identity

NPI1093849226
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameMADISON PARK DENTAL CENTER PLLC
Location Address35 MADISON PROFESSIONAL PARKRexburg, ID 83440
Mailing Address35 Madison Professional ParkRexburg, ID 83440 · (208) 356-5601
Phone(208) 356-5601
Fax(208) 356-8788
Organization SubpartNo
Authorized OfficialRobert L WalkerPresident · (208) 356-5601
Enumeration DateMarch 16, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1093849226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in ID · D1657 D3634
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
35 MADISON PROFESSIONAL PARK, Rexburg, ID 83440
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Other Identifiers 3

Other6I138ID · Blue Cross
Other6I120ID · Blue Cross
Medicaid80659700ID

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

JAMES C. ALLEN D.D.S.
Dentist
35 MADISON PROFESSIONAL PARK
REXBURG, ID 83440
Madison County (208) 356-5601
ROBERT L. WALKER D.M.D.
Dentist
35 MADISON PROFESSIONAL PARK
REXBURG, ID 83440
Madison County (208) 356-0711
MADISON PARK DENTAL CENTER
Dentist (General Practice)
35 MADISON PROFESSIONAL PARK
REXBURG, ID 83440
Madison County (208) 356-5601

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 Madison Park Dental Center PLLC's NPI number?

The NPI number for Madison Park Dental Center PLLC is 1093849226. It was assigned to this organization in the NPPES registry on March 16, 2007.

Where is Madison Park Dental Center PLLC located?

Madison Park Dental Center PLLC is located at 35 Madison Professional Park, Rexburg, ID 83440. The listed phone number is (208) 356-5601.

What is Madison Park Dental Center PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Madison Park Dental Center PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.