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MCRAE DENTAL PA
NPI 1184884348
Clinic/Center - Dental in Meridian, ID

Active since June 11, 2008
1067 S. WELLS ST., MERIDIAN, ID 83642(208) 895-8486(208) 895-8540 Get Directions Write a Review

NPPES record last updated: October 20, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mcrae Dental Pa NPPES

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

MCRAE DENTAL PA (NPI 1184884348) is a healthcare organization registered as a dental in Meridian, Idaho and active in the NPI registry since June 2008. The organization lists Lon Chad Mcrae, Dr, as its authorized official.

NPPES Registry Identity

NPI1184884348
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMCRAE DENTAL PA
Location Address1067 S. WELLS ST.Meridian, ID 83642-3561
Mailing Address1067 S Wells StMeridian, ID 83642-7997 · (208) 895-8486 · Fax (208) 895-8540
Phone(208) 895-8486
Fax(208) 895-8540
Organization SubpartYesParent: Mcrae Dental
Authorized OfficialLon Chad McraeDr · (208) 894-8486
Enumeration DateJune 11, 2008
Last NPPES UpdateOctober 20, 2017
✔ NPI 1184884348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in ID · 000673526W
1067 S. WELLS ST., Meridian, ID 83642
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Other Identifiers 1

Medicaid805008600ID

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 Mcrae Dental PA's NPI number?

The NPI number for Mcrae Dental PA is 1184884348. It was assigned to this organization in the NPPES registry on June 11, 2008.

Where is Mcrae Dental PA located?

Mcrae Dental PA is located at 1067 S. Wells St., Meridian, ID 83642. The listed phone number is (208) 895-8486.

What is Mcrae Dental PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Mcrae Dental PA was last updated on October 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.