KEMP DENTAL LLC
NPI 1255503777
Dentist - General Practice in Pocatello, ID

Active since March 25, 2008
1541 E CLARK ST, POCATELLO, ID 83201(208) 232-6400(208) 232-6050 Get Directions Write a Review

NPPES record last updated: March 25, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kemp Dental Llc NPPES

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

KEMP DENTAL LLC (NPI 1255503777) is a healthcare organization registered as a general practice in Pocatello, Idaho and active in the NPI registry since March 2008. The organization lists Sid Ellis Hedges, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1255503777
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKEMP DENTAL LLC
Location Address1541 E CLARK STPocatello, ID 83201-4100
Mailing Address1541 E Clark StPocatello, ID 83201-4100 · (208) 232-6400 · Fax (208) 232-6050
Fax(208) 232-6050
Organization SubpartNo
Authorized OfficialSid Ellis HedgesPractice Administrator · (208) 232-6400
Enumeration DateMarch 25, 2008
NPI 1255503777 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-1783
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.
1541 E CLARK ST, Pocatello, ID 83201

Other Identifiers 1

Medicaid0025307ID

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.

Dentist (General Practice)
1541 E CLARK ST
POCATELLO, ID 83201
Dentist (General Practice)
1541 E CLARK ST
POCATELLO, ID 83201
Dentist
1541 E CLARK ST
POCATELLO, ID 83201

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 Kemp Dental LLC's NPI number?

The NPI number for Kemp Dental LLC is 1255503777. It was assigned to this organization in the NPPES registry on March 25, 2008.

Where is Kemp Dental LLC located?

Kemp Dental LLC is located at 1541 E Clark St, Pocatello, ID 83201. The listed phone number is (208) 232-6400.

What is Kemp Dental LLC'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 Kemp Dental LLC was last updated on March 25, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.