CHANNING WAY DENTAL CARE
NPI 1376555292
Dentist - General Practice in Idaho Falls, ID

Active since August 12, 2006
2205 CHANNING WAY, SUITE B, IDAHO FALLS, ID 83404(208) 529-3660(208) 529-3666 Get Directions Write a Review

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

About Channing Way Dental Care NPPES

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

CHANNING WAY DENTAL CARE (NPI 1376555292) is a healthcare organization registered as a general practice in Idaho Falls, Idaho and active in the NPI registry since August 2006. The organization lists Glade L. Peterson, Owner/partner, as its authorized official.

NPPES Registry Identity

NPI1376555292
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCHANNING WAY DENTAL CARE
Location Address2205 CHANNING WAY, SUITE BIdaho Falls, ID 83404-8016
Mailing Address2205 Channing Way, Suite BIdaho Falls, ID 83404-8016 · (208) 529-3660 · Fax (208) 529-3666
Fax(208) 529-3666
Organization SubpartNo
Authorized OfficialGlade L. PetersonOwner/partner · (208) 529-3660
Enumeration DateAugust 12, 2006
Last NPPES UpdateMarch 25, 2008
NPI 1376555292 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.
2205 CHANNING WAY, Idaho Falls, ID 83404

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 8

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

Dentist (General Practice)
2205 CHANNING WAY, SUITE A
IDAHO FALLS, ID 83404
Clinic/Center (Dental)
2205 CHANNING WAY, SUITE A
IDAHO FALLS, ID 83404
Dentist (General Practice)
2205 CHANNING WAY
IDAHO FALLS, ID 83404
Dentist (General Practice)
2205 CHANNING WAY, SUITE B
IDAHO FALLS, ID 83404
Dentist (General Practice)
2205 CHANNING WAY, SUITE A
IDAHO FALLS, ID 83404
Dentist (General Practice)
2205 CHANNING WAY
IDAHO FALLS, ID 83404
Dentist (General Practice)
2205 CHANNING WAY, SUITE A
IDAHO FALLS, ID 83404
Dentist (General Practice)
2205 CHANNING WAY, SUITE A
IDAHO FALLS, ID 83404

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 Channing Way Dental Care's NPI number?

The NPI number for Channing Way Dental Care is 1376555292. It was assigned to this organization in the NPPES registry on August 12, 2006.

Where is Channing Way Dental Care located?

Channing Way Dental Care is located at 2205 Channing Way Suite B, Idaho Falls, ID 83404. The listed phone number is (208) 529-3660.

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