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MAGIC VALLEY FAMILY DENTAL
NPI 1477723955
Dentist - General Practice in Rupert, ID

Active since March 11, 2008

NPPES record last updated: March 11, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Magic Valley Family Dental NPPES

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

MAGIC VALLEY FAMILY DENTAL (NPI 1477723955) is a healthcare organization registered as a general practice in Rupert, Idaho and active in the NPI registry since March 2008. The organization lists Denise J Mallory, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1477723955
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMAGIC VALLEY FAMILY DENTAL
Location Address115 W 100 SRupert, ID 83350-9125
Mailing Address115 W 100 SRupert, ID 83350-9125 · (208) 436-4532
Phone(208) 436-4532
Organization SubpartNo
Authorized OfficialDenise J MalloryOffice Manager · (208) 436-4532
Enumeration DateMarch 11, 2008
✔ NPI 1477723955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in ID · D3903
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.
115 W 100 S, Rupert, ID 83350
Open in Google Maps ↗

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

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

NEAL JOHNSON D.M.D.
Dentist (General Practice)
115 W 100 S
RUPERT, ID 83350
Minidoka County (208) 436-4532

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 Magic Valley Family Dental's NPI number?

The NPI number for Magic Valley Family Dental is 1477723955. It was assigned to this organization in the NPPES registry on March 11, 2008.

Where is Magic Valley Family Dental located?

Magic Valley Family Dental is located at 115 W 100 S, Rupert, ID 83350. The listed phone number is (208) 436-4532.

What is Magic Valley Family Dental'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 Magic Valley Family Dental was last updated on March 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.