BACKCOUNTRY DENTAL DOCS, LLC
NPI 1235790510
Dentist in Kellogg, ID

Active since June 26, 2019
109 MCKINLEY AVE, KELLOGG, ID 83837(208) 784-0545 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Backcountry Dental Docs, Llc NPPES

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

BACKCOUNTRY DENTAL DOCS, LLC (NPI 1235790510) is a healthcare organization registered as a dentist in Kellogg, Idaho and active in the NPI registry since June 2019. The organization lists Hillary Anne Berry, Manager, as its authorized official.

NPPES Registry Identity

NPI1235790510
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameBACKCOUNTRY DENTAL DOCS, LLC
Location Address109 MCKINLEY AVEKellogg, ID 83837-2501
Mailing Address2691 E Thomas Hill DrCoeur D Alene, ID 83815-6335 · (425) 409-1655
Organization SubpartNo
Authorized OfficialHillary Anne BerryManager · (425) 409-1655
Enumeration DateJune 26, 2019
Last NPPES UpdateOctober 3, 2022
NPPES CertifiedOctober 3, 2022
NPI 1235790510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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.

Also ListedClinic/Center · DentalTaxonomy 261QD0000X
109 MCKINLEY AVE, Kellogg, ID 83837

Other Identifiers 1

Medicaid21014ID

Other Providers at the Same Location NPPES 3

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

Dentist (General Practice)
109 MCKINLEY AVE
KELLOGG, ID 83837
Dentist (General Practice)
109 MCKINLEY AVE
KELLOGG, ID 83837
Dentist (General Practice)
109 MCKINLEY AVE
KELLOGG, ID 83837

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 Backcountry Dental Docs, LLC's NPI number?

The NPI number for Backcountry Dental Docs, LLC is 1235790510. It was assigned to this organization in the NPPES registry on June 26, 2019.

Where is Backcountry Dental Docs, LLC located?

Backcountry Dental Docs, LLC is located at 109 Mckinley Ave, Kellogg, ID 83837. The listed phone number is (208) 784-0545.

What is Backcountry Dental Docs, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Backcountry Dental Docs, LLC was last updated on October 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.