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AFFORDABLE FAMILY DENTISTRY PC
NPI 1245560945
Dentist - General Practice in Idaho Falls, ID

Active since January 04, 2010
1400 E 17TH ST, IDAHO FALLS, ID 83404(208) 881-9177(866) 767-0878 Get Directions Write a Review

NPPES record last updated: October 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Affordable Family Dentistry Pc NPPES

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

AFFORDABLE FAMILY DENTISTRY PC (NPI 1245560945) is a healthcare organization registered as a general practice in Idaho Falls, Idaho and active in the NPI registry since January 2010. The organization lists Tracy Dean Jenkins, President, as its authorized official.

NPPES Registry Identity

NPI1245560945
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameAFFORDABLE FAMILY DENTISTRY PC
Location Address1400 E 17TH STIdaho Falls, ID 83404-6269
Mailing Address1400 E 17th StIdaho Falls, ID 83404-6269 · (208) 881-9177 · Fax (866) 767-0878
Phone(208) 881-9177
Fax(866) 767-0878
Organization SubpartNo
Authorized OfficialTracy Dean JenkinsPresident · (208) 881-9177
Enumeration DateJanuary 4, 2010
Last NPPES UpdateOctober 20, 2023
NPPES CertifiedOctober 20, 2023
✔ NPI 1245560945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in ID · D-4216
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.
1400 E 17TH ST, Idaho Falls, ID 83404
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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 3

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

G. VAN STOSICH D.D.S.
Dentist (General Practice)
1400 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 522-8061
ZIMBI DENTAL PLLC
Clinic/Center (Dental)
1400 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 522-8061
DR. TRACY DEAN JENKINS D.D.S.
Dentist (General Practice)
1400 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 881-9177

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 Affordable Family Dentistry PC's NPI number?

The NPI number for Affordable Family Dentistry PC is 1245560945. It was assigned to this organization in the NPPES registry on January 4, 2010.

Where is Affordable Family Dentistry PC located?

Affordable Family Dentistry PC is located at 1400 E 17th St, Idaho Falls, ID 83404. The listed phone number is (208) 881-9177.

What is Affordable Family Dentistry PC'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 Affordable Family Dentistry PC was last updated on October 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.