1. Home
  2. Directory
  3. Idaho
  4. Falls
  5. Dentist
  6. NPI Profile

EAGLE ROCK DENTAL CARE
NPI 1356465660
Dentist - General Practice in Idaho Falls, ID

Active since March 19, 2007
640 S WOODRUFF AVE, IDAHO FALLS, ID 83401(208) 523-5400(208) 528-0565 Get Directions Write a Review

NPPES record last updated: February 3, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eagle Rock Dental Care NPPES

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

EAGLE ROCK DENTAL CARE (NPI 1356465660) is a healthcare organization registered as a general practice in Idaho Falls, Idaho and active in the NPI registry since March 2007. The organization lists Trudee L Chapple, Administrator, as its authorized official.

NPPES Registry Identity

NPI1356465660
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameEAGLE ROCK DENTAL CARE
Location Address640 S WOODRUFF AVEIdaho Falls, ID 83401-5299
Mailing Address640 S Woodruff AveIdaho Falls, ID 83401-5299 · (208) 523-5400 · Fax (208) 528-0565
Phone(208) 523-5400
Fax(208) 528-0565
Organization SubpartNo
Authorized OfficialTrudee L ChappleAdministrator · (208) 523-5400
Enumeration DateMarch 19, 2007
Last NPPES UpdateFebruary 3, 2014
✔ NPI 1356465660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in ID · D-1297✔ Licensed in ID · D-3063✔ Licensed in ID · D-1890✔ Licensed in ID · D4138
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.
Also ListedDentistTaxonomy 122300000X · License D-3271 (ID)
640 S WOODRUFF AVE, Idaho Falls, ID 83401
Open in Google Maps ↗

Other Identifiers 1

OtherD4138ID · Isda

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

MS. ALISON BURAU LSCW
Social Worker (Clinical)
640 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 522-2922
STEVEN ABBOTT BARNARD D.D.S.
Dentist (General Practice)
640 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 523-5400
BLAINE A HAMMOND DMD
Dentist (General Practice)
640 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 523-5400
SALT LAKE CITY VAMC
Clinic/Center (VA)
640 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (913) 578-4409
ALAN RAY COOPER D.D.S.
Dentist (General Practice)
640 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 523-5400
NICOLE MARTIN
Social Worker
640 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (801) 582-1565
DOUGLAS STEVEN BARNARD D.D.S.
Dentist (General Practice)
640 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 523-5400
NICHOLAS J TANNER D.D.S.
Dentist (General Practice)
640 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 523-5400

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 Eagle Rock Dental Care's NPI number?

The NPI number for Eagle Rock Dental Care is 1356465660. It was assigned to this organization in the NPPES registry on March 19, 2007.

Where is Eagle Rock Dental Care located?

Eagle Rock Dental Care is located at 640 S Woodruff Ave, Idaho Falls, ID 83401. The listed phone number is (208) 523-5400.

What is Eagle Rock Dental Care'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 Eagle Rock Dental Care was last updated on February 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.