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EAGLE DENTAL PARTNERSHIP PLLC
NPI 1639732399
Dentist - General Practice in Eagle, ID

Active since April 18, 2019
577 E STATE ST, EAGLE, ID 83616(208) 939-3500(208) 939-3837 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2025, Apr 18, 2019 (2 updates tracked since 2019).

About Eagle Dental Partnership Pllc NPPES

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

EAGLE DENTAL PARTNERSHIP PLLC (NPI 1639732399), doing business as Ascend Dental, is a healthcare organization registered as a general practice in Eagle, Idaho and active in the NPI registry since April 2019. The organization maintains a secondary practice location in Eagle and lists Leah M. Gardoski, Insurance Administrator, as its authorized official.

NPPES Registry Identity

NPI1639732399
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameEAGLE DENTAL PARTNERSHIP PLLC
Location Address577 E STATE STEagle, ID 83616-5938
Mailing Address577 E State StEagle, ID 83616-5938 · (208) 939-3500 · Fax (208) 939-3837
Phone(208) 939-3500
Fax(208) 939-3837
Organization SubpartNo
Authorized OfficialLeah M. GardoskiInsurance Administrator · (208) 939-3500
Enumeration DateApril 18, 2019
Last NPPES UpdateAugust 11, 20252 updates tracked since enumeration
✔ NPI 1639732399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
577 E STATE ST, Eagle, ID 83616
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Other Names 1

Doing Business AsAscend Dental

Secondary Practice Location 1

Location 1450 W State St Ste 115Eagle, ID 83616-7055 · Phone (208) 342-4644

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.

NATALIE KAY LITTLE DDS
Dentist (General Practice)
577 E STATE ST
EAGLE, ID 83616
Ada County (208) 939-0611
GILBERT H SIMPSON D.M.D.
Dentist (General Practice)
577 E STATE ST
EAGLE, ID 83616
Ada County (208) 939-0611

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 Eagle Dental Partnership PLLC's NPI number?

The NPI number for Eagle Dental Partnership PLLC is 1639732399. It was assigned to this organization in the NPPES registry on April 18, 2019. The provider is doing business as Ascend Dental.

Where is Eagle Dental Partnership PLLC located?

Eagle Dental Partnership PLLC is located at 577 E State St, Eagle, ID 83616. The listed phone number is (208) 939-3500.

What is Eagle Dental Partnership PLLC'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 Eagle Dental Partnership PLLC was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.