MOUNTAIN RIVER DENTAL
NPI 1366543563
Dentist - General Practice in Victor, ID

Q: What is Mountain River Dental PLLC's NPI number?

The NPI number for Mountain River Dental PLLC is 1366543563. It was assigned to this organization in the NPPES registry on September 26, 2006. The provider is doing business as Mountain River Dental.

Q: What is Mountain River Dental PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since September 26, 2006

404 LUPINE DR., VICTOR, ID 83455(208) 787-8100(208) 787-8101 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mountain River Dental NPPES

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

MOUNTAIN RIVER DENTAL (NPI 1366543563) is a healthcare organization registered as a general practice in Victor, Idaho and active in the NPI registry since September 2006. The organization lists Justin D Bell, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1366543563

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameMOUNTAIN RIVER DENTAL PLLC

Location Address404 LUPINE DR.Victor, ID 83455

Mailing AddressPo Box 487Victor, ID 83455-0487 · (208) 787-8100 · Fax (208) 787-8101

Phone(208) 787-8100

Fax(208) 787-8101

Organization SubpartNo

Authorized OfficialJustin D BellCo-owner · (208) 787-8100

Enumeration DateSeptember 26, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1366543563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

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.

404 LUPINE DR., Victor, ID 83455

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Other Names 1

Doing Business AsMountain River Dental

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 MULTIPLE SINGLE SPECIALTY GROUP

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 Mountain River Dental PLLC's NPI number?

The NPI number for Mountain River Dental PLLC is 1366543563. It was assigned to this organization in the NPPES registry on September 26, 2006. The provider is doing business as Mountain River Dental.

Where is Mountain River Dental PLLC located?

Mountain River Dental PLLC is located at 404 Lupine Dr., Victor, ID 83455. The listed phone number is (208) 787-8100.

What is Mountain River Dental PLLC'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 Mountain River Dental PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.