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SUPERIOR SMILES
NPI 1669847596
Dentist - General Practice in Pocatello, ID

Active since December 03, 2015
115 S 15TH AVE, SUITE #E, POCATELLO, ID 83201(208) 233-4310(208) 233-4368 Get Directions Write a Review

NPPES record last updated: February 2, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 2, 2016, Dec 3, 2015 (2 updates tracked since 2015).

About Superior Smiles NPPES

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

SUPERIOR SMILES (NPI 1669847596) is a healthcare organization registered as a general practice in Pocatello, Idaho and active in the NPI registry since December 2015. The organization lists Darcy Jo Hochstrasser, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1669847596
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePORTNEUF DENTAL PLLC
Location Address115 S 15TH AVE, SUITE #EPocatello, ID 83201-4004
Mailing Address115 S 15th Ave, Suite #ePocatello, ID 83201-4004 · (208) 233-4310 · Fax (208) 233-4368
Phone(208) 233-4310
Fax(208) 233-4368
Organization SubpartNo
Authorized OfficialDarcy Jo HochstrasserOffice Manager · (208) 233-4310
Enumeration DateDecember 3, 2015
Last NPPES UpdateFebruary 2, 20162 updates tracked since enumeration
✔ NPI 1669847596 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.
115 S 15TH AVE, Pocatello, ID 83201
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Other Names 1

Doing Business AsSuperior Smiles

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.

DR. DAVID LEO WISE M.D.
Family Medicine
115 S 15TH AVE
POCATELLO, ID 83201
Bannock County (208) 234-0012
EARL C CHESTER JR. MD PA
Dermatology
115 S 15TH AVE, SUITE E
POCATELLO, ID 83201
Bannock County (208) 232-2107

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 Portneuf Dental PLLC's NPI number?

The NPI number for Portneuf Dental PLLC is 1669847596. It was assigned to this organization in the NPPES registry on December 3, 2015. The provider is doing business as Superior Smiles.

Where is Portneuf Dental PLLC located?

Portneuf Dental PLLC is located at 115 S 15th Ave Suite #e, Pocatello, ID 83201. The listed phone number is (208) 233-4310.

What is Portneuf Dental 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 Portneuf Dental PLLC was last updated on February 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.