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KEVIN RICHARD MUDROW D.D.S.
NPI 1114126992
Dentist in Idaho Falls, ID

Active since July 12, 2007
333 S WOODRUFF AVE, SUITE F, IDAHO FALLS, ID 83401(208) 524-2030 Get Directions Write a Review

NPPES record last updated: September 11, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kevin Richard Mudrow D.d.s. NPPES

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

KEVIN RICHARD MUDROW D.D.S. (NPI 1114126992) is an individual dentist in Idaho Falls, Idaho, licensed in Idaho (D4481) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1114126992
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameKEVIN RICHARD MUDROWCredential: D.D.S.
Location Address333 S WOODRUFF AVE, SUITE FIdaho Falls, ID 83401-4322
Mailing Address333 S Woodruff Ave, Suite FIdaho Falls, ID 83401-4322 · (208) 524-2030
Phone(208) 524-2030
Sole ProprietorNo
Enumeration DateJuly 12, 2007
Last NPPES UpdateSeptember 11, 2013
✔ NPI 1114126992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in ID · D4481✔ Licensed in OR · D8946
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.
333 S WOODRUFF AVE, Idaho Falls, ID 83401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 12

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

OWEN DENTAL, PC
Dentist (General Practice)
333 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 523-4700
RUSSELL GUYMON ORTHODONTICS, PA
Dentist (Orthodontics and Dentofacial Orthopedics)
333 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 529-3500
KEVIN MUDROW DDS PLLC
Dentist
333 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 524-2036
VERNON O. GAFFNER, D.M.D., P.A.
Dentist
333 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 524-2034
VERNON O GAFFNER D.M.D.
Dentist (General Practice)
333 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 524-2034
SCOTT M BLAKE DDS
Dentist (Oral and Maxillofacial Pathology)
333 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 523-2160
DR. RYAN MCGRAW DC
Chiropractor
333 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 522-2591
DR. ANDREW RYAN BRADBURY MD
Family Medicine
333 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 413-7917

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 Kevin Mudrow's NPI number?

The NPI number for Kevin Mudrow is 1114126992. It was assigned to this individual provider in the NPPES registry on July 12, 2007.

Where is Kevin Mudrow located?

Kevin Mudrow practices at 333 S Woodruff Ave Suite F, Idaho Falls, ID 83401. The listed phone number is (208) 524-2030.

What is Kevin Mudrow's specialty?

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

What insurance does Kevin Mudrow accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 12 other insurers list Kevin Mudrow as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Mudrow was last updated on September 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.