SHELLEY DENTAL, INC
NPI 1174775902
Dentist - General Practice in Shelley, ID

Q: What is Shelley Dental, Inc's NPI number?

The NPI number for Shelley Dental, Inc is 1174775902. It was assigned to this organization in the NPPES registry on October 10, 2008.

Q: What is Shelley Dental, Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since October 10, 2008

530 S STATE ST, SHELLEY, ID 83274(208) 357-2400(208) 357-2414 Get Directions Write a Review

NPPES record last updated: October 10, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Shelley Dental, Inc NPPES

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

SHELLEY DENTAL, INC (NPI 1174775902) is a healthcare organization registered as a general practice in Shelley, Idaho and active in the NPI registry since October 2008. The organization lists John R Stohl, Owner, as its authorized official.

NPPES Registry Identity

NPI1174775902

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameSHELLEY DENTAL, INC

Location Address530 S STATE STShelley, ID 83274

Mailing Address530 S State StShelley, ID 83274 · (208) 357-2400 · Fax (208) 357-2414

Phone(208) 357-2400

Fax(208) 357-2414

Organization SubpartNo

Authorized OfficialJohn R StohlOwner · (208) 357-2400

Enumeration DateOctober 10, 2008

✔ NPI 1174775902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

530 S STATE ST, Shelley, ID 83274

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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

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

DR. JOHN R STOHL

Dentist (General Practice)

530 S STATE ST
SHELLEY, ID 83274

Bingham County (208) 357-2400

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 Shelley Dental, Inc's NPI number?

The NPI number for Shelley Dental, Inc is 1174775902. It was assigned to this organization in the NPPES registry on October 10, 2008.

Where is Shelley Dental, Inc located?

Shelley Dental, Inc is located at 530 S State St, Shelley, ID 83274. The listed phone number is (208) 357-2400.

What is Shelley Dental, Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Shelley Dental, Inc was last updated on October 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.