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CHILDRENS DENTISTRY OF FRUITLAND
NPI 1619634250
Dentist - Pediatric Dentistry in Fruitland, ID

Active since November 18, 2021
1950 N WHITLEY DR, FRUITLAND, ID 83619(541) 709-5500(208) 467-5199 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Childrens Dentistry Of Fruitland NPPES

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

CHILDRENS DENTISTRY OF FRUITLAND (NPI 1619634250) is a healthcare organization registered as a pediatric dentistry in Fruitland, Idaho and active in the NPI registry since November 2021. The organization lists Rachel Mitchell, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1619634250
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCHILDRENS DENTISTRY OF FRUITLAND
Location Address1950 N WHITLEY DRFruitland, ID 83619-2143
Mailing Address1950 N Whitley DrFruitland, ID 83619-2143 · (541) 709-5500 · Fax (208) 467-5199
Phone(541) 709-5500
Fax(208) 467-5199
Organization SubpartYesParent: Children's Dentistry Of Idaho, Pllc
Authorized OfficialRachel MitchellBusiness Manager · (208) 467-5100
Enumeration DateNovember 18, 2021
NPPES CertifiedNovember 18, 2021
✔ NPI 1619634250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
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.
1950 N WHITLEY DR, Fruitland, ID 83619
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 Childrens Dentistry Of Fruitland's NPI number?

The NPI number for Childrens Dentistry Of Fruitland is 1619634250. It was assigned to this organization in the NPPES registry on November 18, 2021.

Where is Childrens Dentistry Of Fruitland located?

Childrens Dentistry Of Fruitland is located at 1950 N Whitley Dr, Fruitland, ID 83619. The listed phone number is (541) 709-5500.

What is Childrens Dentistry Of Fruitland's specialty?

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

What insurance does Childrens Dentistry Of Fruitland accept?

Health plans from UnitedHealthcare list Childrens Dentistry Of Fruitland as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Childrens Dentistry Of Fruitland was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.