CARIBOU FAMILY DENTAL
NPI 1659898872
Dentist - General Practice in Grace, ID

Active since August 28, 2017

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 17, 2018, Aug 28, 2017 (2 updates tracked since 2017).

About Caribou Family Dental NPPES

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

CARIBOU FAMILY DENTAL (NPI 1659898872) is a healthcare organization registered as a general practice in Grace, Idaho and active in the NPI registry since August 2017. The organization maintains a secondary practice location in Grace and lists Robert N. Perkins, Dentist, as its authorized official.

NPPES Registry Identity

NPI1659898872
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCARIBOU FAMILY DENTAL
Location Address114 W 1ST SGrace, ID 83241-5391
Mailing AddressPo Box 345Grace, ID 83241-0345
Organization SubpartNo
Authorized OfficialRobert N. PerkinsDentist · (208) 425-3123
Enumeration DateAugust 28, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1659898872 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 · D4716
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.

114 W 1ST S, Grace, ID 83241

Secondary Practice Location 1

Location 1114 W 1st SGrace, ID 83241-5391 · Phone (208) 425-3123

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.

Clinic/Center
114 W 1ST S
GRACE, ID 83241

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659898872, enumerated as an "organization" on August 28, 2017.

The provider is located at 114 W 1ST S GRACE, ID 83241 and the phone number is (208) 425-3123.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.