CHILDREN'S DENTISTRY OF POCATELLO
NPI 1588823264
Dentist - Pediatric Dentistry in Pocatello, ID

Active since June 06, 2008
425 E ALAMEDA RD, POCATELLO, ID 83201(208) 238-1165(208) 238-1241 Get Directions Write a Review

NPPES record last updated: August 20, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Children's Dentistry Of Pocatello NPPES

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

CHILDREN'S DENTISTRY OF POCATELLO (NPI 1588823264) is a healthcare organization registered as a pediatric dentistry in Pocatello, Idaho and active in the NPI registry since June 2008. The organization lists Ross N Hugues, Officer, as its authorized official.

NPPES Registry Identity

NPI1588823264
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCHILDREN'S DENTISTRY OF POCATELLO
Location Address425 E ALAMEDA RDPocatello, ID 83201-3609
Mailing Address425 E Alameda RdPocatello, ID 83201-3609 · (208) 238-1165 · Fax (208) 238-1241
Fax(208) 238-1241
Organization SubpartNo
Authorized OfficialRoss N HuguesOfficer · (208) 238-1165
Enumeration DateJune 6, 2008
Last NPPES UpdateAugust 20, 2014
NPI 1588823264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in ID · D3679
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
425 E ALAMEDA RD, Pocatello, ID 83201

Other Identifiers 1

Medicaid807788200ID

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 2

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

Dentist
425 E ALAMEDA RD
POCATELLO, ID 83201
Dentist (Pediatric Dentistry)
425 E ALAMEDA RD
POCATELLO, ID 83201

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 Children's Dentistry Of Pocatello's NPI number?

The NPI number for Children's Dentistry Of Pocatello is 1588823264. It was assigned to this organization in the NPPES registry on June 6, 2008.

Where is Children's Dentistry Of Pocatello located?

Children's Dentistry Of Pocatello is located at 425 E Alameda Rd, Pocatello, ID 83201. The listed phone number is (208) 238-1165.

What is Children's Dentistry Of Pocatello's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Children's Dentistry Of Pocatello was last updated on August 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.