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CENTER FOR DENTAL EXCELLENCE LLC
NPI 1376852939
Clinic/Center - Dental in Pocatello, ID

Active since September 30, 2010
1525 BALDY AVE, POCATELLO, ID 83201(208) 238-0011(208) 904-3843 Get Directions Write a Review

NPPES record last updated: November 18, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Center For Dental Excellence Llc NPPES

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

CENTER FOR DENTAL EXCELLENCE LLC (NPI 1376852939) is a healthcare organization registered as a dental in Pocatello, Idaho and active in the NPI registry since September 2010. The organization lists Jeremy L Hodge, Owner, as its authorized official.

NPPES Registry Identity

NPI1376852939
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCENTER FOR DENTAL EXCELLENCE LLC
Location Address1525 BALDY AVEPocatello, ID 83201-7117
Mailing Address1525 Baldy AvePocatello, ID 83201-7117 · (208) 238-0011 · Fax (208) 904-3843
Phone(208) 238-0011
Fax(208) 904-3843
Organization SubpartNo
Authorized OfficialJeremy L HodgeOwner · (208) 238-0011
Enumeration DateSeptember 30, 2010
Last NPPES UpdateNovember 18, 2010
✔ NPI 1376852939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in ID · D3808
1525 BALDY AVE, Pocatello, ID 83201
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Other Providers at the Same Location NPPES 2

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

ANDREW STODDARD DENTAL SERVICES, PLLC
Clinic/Center (Dental)
1525 BALDY AVE
POCATELLO, ID 83201
Bannock County (208) 238-0011
POCATELLO DENTAL EXCELLENCE
Clinic/Center (Dental)
1525 BALDY AVE
POCATELLO, ID 83201
Bannock County (208) 238-0011

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 Center For Dental Excellence LLC's NPI number?

The NPI number for Center For Dental Excellence LLC is 1376852939. It was assigned to this organization in the NPPES registry on September 30, 2010.

Where is Center For Dental Excellence LLC located?

Center For Dental Excellence LLC is located at 1525 Baldy Ave, Pocatello, ID 83201. The listed phone number is (208) 238-0011.

What is Center For Dental Excellence LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Center For Dental Excellence LLC was last updated on November 18, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.