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IDAHO KIDS DENTISTRY & ORTHODONTICS FRUITLAND
NPI 1184108706
Dentist - Pediatric Dentistry in Fruitland, ID

Active since September 19, 2018
1619 N WHITLEY DR, FRUITLAND, ID 83619(208) 452-4444(208) 452-3322 Get Directions Write a Review

NPPES record last updated: April 16, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 16, 2019, Sep 19, 2018 (2 updates tracked since 2018).

About Idaho Kids Dentistry & Orthodontics Fruitland NPPES

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

IDAHO KIDS DENTISTRY & ORTHODONTICS FRUITLAND (NPI 1184108706) is a healthcare organization registered as a pediatric dentistry in Fruitland, Idaho and active in the NPI registry since September 2018. The organization lists Michael D Payne, President, as its authorized official.

NPPES Registry Identity

NPI1184108706
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameIKDO FRUITLAND LLC
Location Address1619 N WHITLEY DRFruitland, ID 83619-2162
Mailing Address3289 N Towerbridge WayMeridian, ID 83646-8347 · (208) 884-4466
Phone(208) 452-4444
Fax(208) 452-3322
Organization SubpartNo
Authorized OfficialMichael D PaynePresident · (208) 371-4445
Enumeration DateSeptember 19, 2018
Last NPPES UpdateApril 16, 20192 updates tracked since enumeration
✔ NPI 1184108706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
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.
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X
1619 N WHITLEY DR, Fruitland, ID 83619
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Other Names 1

Doing Business AsIdaho Kids Dentistry & Orthodontics Fruitland

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

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 Ikdo Fruitland LLC's NPI number?

The NPI number for Ikdo Fruitland LLC is 1184108706. It was assigned to this organization in the NPPES registry on September 19, 2018. The provider is doing business as Idaho Kids Dentistry & Orthodontics Fruitland.

Where is Ikdo Fruitland LLC located?

Ikdo Fruitland LLC is located at 1619 N Whitley Dr, Fruitland, ID 83619. The listed phone number is (208) 452-4444.

What is Ikdo Fruitland LLC'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 Ikdo Fruitland LLC was last updated on April 16, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.