KIDDS DENTAL
NPI 1114067105
Dentist - Pediatric Dentistry in Pocatello, ID

Active since February 07, 2007
716 YELLOWSTONE AVE, POCATELLO, ID 83201(208) 478-5437(208) 232-5490 Get Directions Write a Review

NPPES record last updated: November 30, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kidds Dental NPPES

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

KIDDS DENTAL (NPI 1114067105) is a healthcare organization registered as a pediatric dentistry in Pocatello, Idaho and active in the NPI registry since February 2007. The organization lists Larry W Bybee, Owner, as its authorized official.

NPPES Registry Identity

NPI1114067105
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameVALLEY DENTAL PA
Location Address716 YELLOWSTONE AVEPocatello, ID 83201-4407
Mailing Address716 Yellowstone AvePocatello, ID 83201-4407 · (208) 478-5437 · Fax (208) 232-5490
Fax(208) 232-5490
Organization SubpartNo
Authorized OfficialLarry W BybeeOwner · (208) 478-5437
Enumeration DateFebruary 7, 2007
Last NPPES UpdateNovember 30, 2016
NPI 1114067105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in ID · D1664
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.
716 YELLOWSTONE AVE, Pocatello, ID 83201

Other Names 1

Doing Business AsKidds Dental

Other Identifiers 2

Medicaid806808801ID
Medicaid806808800ID

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 9

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

Clinic/Center (Dental)
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 Valley Dental PA's NPI number?

The NPI number for Valley Dental PA is 1114067105. It was assigned to this organization in the NPPES registry on February 7, 2007. The provider is doing business as Kidds Dental.

Where is Valley Dental PA located?

Valley Dental PA is located at 716 Yellowstone Ave, Pocatello, ID 83201. The listed phone number is (208) 478-5437.

What is Valley Dental PA'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 Valley Dental PA was last updated on November 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.