INTERMOUNTAIN DENTAL, PC
NPI 1184217168
Clinic/Center - Dental in Priest River, ID
About Intermountain Dental, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTERMOUNTAIN DENTAL, PC (NPI 1184217168) is a healthcare organization registered as a dental in Priest River, Idaho and active in the NPI registry since February 2021. The organization lists Mark Edward Duke, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Intermountain Dental, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Intermountain Dental, PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Intermountain Dental, PC's NPI number?
The NPI number for Intermountain Dental, PC is 1184217168. It was assigned to this organization in the NPPES registry on February 19, 2021.
Where is Intermountain Dental, PC located?
Intermountain Dental, PC is located at 103 Main St, Priest River, ID 83856. The listed phone number is (208) 448-1241.
What is Intermountain Dental, PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.
Is Intermountain Dental, PC enrolled in Medicare?
Yes. Intermountain Dental, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Intermountain Dental, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to Intermountain Dental, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Intermountain Dental, PC was last updated on February 19, 2021. 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.
# Intermountain Dental, Pc · NPI 1184217168
Dental organization in Priest River, Idaho. Organization record, active in the CMS NPPES registry since February 19, 2021.
## Identity
- **NPI:** 1184217168 (Entity type: Organization)
- **Enumerated:** February 19, 2021
- **Primary specialty:** Clinic/Center - Dental · taxonomy 261QD0000X
- **Organization subpart:** No
- **Authorized official:** Mark Duke, PRESIDENT
## Practice location
- **Address:** 103 MAIN ST, Priest River, ID 83856-8385
- **Phone:** (208) 448-1241 · **Fax:** (208) 448-1242
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Dentist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 19, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1184217168) · Data from the CMS NPPES public registry.