CRESTWOOD DENTAL
NPI 1396551792
Clinic/Center - Dental in Idaho Falls, ID

Q: What is Crestwood Dental's NPI number?

The NPI number for Crestwood Dental is 1396551792. It was assigned to this organization in the NPPES registry on December 10, 2024.

Q: What is Crestwood Dental's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Crestwood Dental was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.

Active since December 10, 2024

2238 SARATOGA DR, IDAHO FALLS, ID 83404(208) 701-2720(208) 357-4522 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Crestwood Dental NPPES

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

CRESTWOOD DENTAL (NPI 1396551792) is a healthcare organization registered as a dental in Idaho Falls, Idaho and active in the NPI registry since December 2024. The organization lists Mark A Tall, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1396551792

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameCRESTWOOD DENTAL

Location Address2238 SARATOGA DRIdaho Falls, ID 83404-5109

Mailing Address2238 Saratoga DrIdaho Falls, ID 83404-5109 · (208) 701-2720 · Fax (208) 357-4522

Phone(208) 701-2720

Fax(208) 357-4522

Organization SubpartNo

Authorized OfficialMark A TallOwner/dentist · (208) 701-2720

Enumeration DateDecember 10, 2024

NPPES CertifiedDecember 10, 2024

✔ NPI 1396551792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

2238 SARATOGA DR, Idaho Falls, ID 83404

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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.

SLEEP BETTER IDAHO FALLS LLC

Durable Medical Equipment & Medical Supplies (Customized Equipment)

2238 SARATOGA DR
IDAHO FALLS, ID 83404

Bonneville County (208) 701-2720

SLEEP DIRECTIONS LLC

Clinic/Center

2238 SARATOGA DR
IDAHO FALLS, ID 83404

Bonneville County (208) 701-2720

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 Crestwood Dental's NPI number?

The NPI number for Crestwood Dental is 1396551792. It was assigned to this organization in the NPPES registry on December 10, 2024.

Where is Crestwood Dental located?

Crestwood Dental is located at 2238 Saratoga Dr, Idaho Falls, ID 83404. The listed phone number is (208) 701-2720.

What is Crestwood Dental'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 Crestwood Dental was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.