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PORTNEUF VALLEY DENTAL
NPI 1770127565
Clinic/Center - Dental in Pocatello, ID

Active since November 05, 2019
1246 YELLOWSTONE AVE, POCATELLO, ID 83201(208) 238-0125 Get Directions Write a Review

NPPES record last updated: November 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Portneuf Valley Dental NPPES

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

PORTNEUF VALLEY DENTAL (NPI 1770127565) is a healthcare organization registered as a dental in Pocatello, Idaho and active in the NPI registry since November 2019. The organization lists Jayson Anders Bird, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1770127565
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePORTNEUF VALLEY DENTAL
Location Address1246 YELLOWSTONE AVEPocatello, ID 83201-4374
Mailing Address1246 Yellowstone AvePocatello, ID 83201-4374 · (208) 238-0125
Phone(208) 238-0125
Organization SubpartNo
Authorized OfficialJayson Anders BirdCeo/owner · (208) 680-5144
Enumeration DateNovember 5, 2019
✔ NPI 1770127565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1246 YELLOWSTONE AVE, Pocatello, ID 83201
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COLIN MAHONEY SE
Psychologist
1246 YELLOWSTONE AVE, STE C5
POCATELLO, ID 83201
Bannock County (208) 233-0150
ALINA BONCI
Counselor (Professional)
1246 YELLOWSTONE AVE, SUITE C5
POCATELLO, ID 83201
Bannock County (208) 233-0150
DR. JASON ARTHUR MAUSETH DDS
Dentist (General Practice)
1246 YELLOWSTONE AVE, STE B1
POCATELLO, ID 83201
Bannock County (208) 237-2462
MICHAEL T MCHUGH DDS
Dentist (General Practice)
1246 YELLOWSTONE AVE, STE D3
POCATELLO, ID 83201
Bannock County (208) 238-0125
DIANE K. MOLL
Counselor
1246 YELLOWSTONE AVE, SUITE C-6
POCATELLO, ID 83201
Bannock County (208) 234-8010
DR. WALLACE LLOYD CHRISTENSEN OD
Optometrist
1246 YELLOWSTONE AVE, SUITE A4
POCATELLO, ID 83201
Bannock County (208) 237-7666
MICHAEL T MCHUGH D.D.S., PA
Clinic/Center (Dental)
1246 YELLOWSTONE AVE, STE. D3
POCATELLO, ID 83201
Bannock County (208) 238-0125

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 Valley Dental's NPI number?

The NPI number for Portneuf Valley Dental is 1770127565. It was assigned to this organization in the NPPES registry on November 5, 2019.

Where is Portneuf Valley Dental located?

Portneuf Valley Dental is located at 1246 Yellowstone Ave, Pocatello, ID 83201. The listed phone number is (208) 238-0125.

What is Portneuf Valley Dental's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Portneuf Valley Dental was last updated on November 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.