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COUCH-BURTENSHAW DENTAL
NPI 1770725772
Dentist - General Practice in Rexburg, ID

Active since April 06, 2009
1014 ERIKSON DR, REXBURG, ID 83440(208) 359-5454(208) 359-0749 Get Directions Write a Review

NPPES record last updated: April 6, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Couch-burtenshaw Dental NPPES

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

COUCH-BURTENSHAW DENTAL (NPI 1770725772) is a healthcare organization registered as a general practice in Rexburg, Idaho and active in the NPI registry since April 2009. The organization lists Reana Lyn, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1770725772
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCOUCH-BURTENSHAW DENTAL
Location Address1014 ERIKSON DRRexburg, ID 83440-5297
Mailing Address1014 Erikson DrRexburg, ID 83440-5297 · (208) 359-5454 · Fax (208) 359-0749
Phone(208) 359-5454
Fax(208) 359-0749
Organization SubpartNo
Authorized OfficialReana LynOffice Manager · (208) 359-5454
Enumeration DateApril 6, 2009
✔ NPI 1770725772 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 · D1303
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.
1014 ERIKSON DR, Rexburg, ID 83440
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

KYLE WALKER PHD., LMFT
Marriage & Family Therapist
1014 ERIKSON DR
REXBURG, ID 83440
Madison County (208) 831-7539

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 Couch-Burtenshaw Dental's NPI number?

The NPI number for Couch-Burtenshaw Dental is 1770725772. It was assigned to this organization in the NPPES registry on April 6, 2009.

Where is Couch-Burtenshaw Dental located?

Couch-Burtenshaw Dental is located at 1014 Erikson Dr, Rexburg, ID 83440. The listed phone number is (208) 359-5454.

What is Couch-Burtenshaw Dental'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 Couch-Burtenshaw Dental was last updated on April 6, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.