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IDAHO FALLS PEDIATRIC DENTISTRY, PLLC
NPI 1700447596
Dentist - Pediatric Dentistry in Ammon, ID

Active since June 24, 2019
3015 EAGLE DR, AMMON, ID 83406(208) 419-3622(208) 419-3461 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Idaho Falls Pediatric Dentistry, Pllc NPPES

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

IDAHO FALLS PEDIATRIC DENTISTRY, PLLC (NPI 1700447596) is a healthcare organization registered as a pediatric dentistry in Ammon, Idaho and active in the NPI registry since June 2019. The organization lists Kailey Anne Housley, Pediatric Dentist, Owner, as its authorized official.

NPPES Registry Identity

NPI1700447596
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameIDAHO FALLS PEDIATRIC DENTISTRY, PLLC
Location Address3015 EAGLE DRAmmon, ID 83406-1273
Mailing Address3387 Merlin DrIdaho Falls, ID 83404-7405 · (208) 419-3622 · Fax (208) 419-3461
Phone(208) 419-3622
Fax(208) 419-3461
Organization SubpartNo
Authorized OfficialKailey Anne HousleyPediatric Dentist, Owner · (208) 419-3622
Enumeration DateJune 24, 2019
Last NPPES UpdateMay 28, 2025
NPPES CertifiedMay 28, 2025
✔ NPI 1700447596 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.
3015 EAGLE DR, Ammon, ID 83406
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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 ›

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.

SUNNY SMILES PEDIATRIC DENTISTRY PLLC
Dentist (Pediatric Dentistry)
3015 EAGLE DR
AMMON, ID 83406
Bonneville County (208) 709-5333
KAILEY ANNE SMITH HOUSLEY DDS
Dentist (Pediatric Dentistry)
3015 EAGLE DR
AMMON, ID 83406
Bonneville County (208) 419-3622

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 Idaho Falls Pediatric Dentistry, PLLC's NPI number?

The NPI number for Idaho Falls Pediatric Dentistry, PLLC is 1700447596. It was assigned to this organization in the NPPES registry on June 24, 2019.

Where is Idaho Falls Pediatric Dentistry, PLLC located?

Idaho Falls Pediatric Dentistry, PLLC is located at 3015 Eagle Dr, Ammon, ID 83406. The listed phone number is (208) 419-3622.

What is Idaho Falls Pediatric Dentistry, PLLC's specialty?

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

What insurance does Idaho Falls Pediatric Dentistry, PLLC accept?

Health plans from UnitedHealthcare list Idaho Falls Pediatric Dentistry, PLLC 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 Idaho Falls Pediatric Dentistry, PLLC was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.