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TETON VALLEY DENTAL CENTER PLLC
NPI 1801112628
Clinic/Center - Dental in Driggs, ID

Active since April 19, 2010
235 E. WALLACE AVE., DRIGGS, ID 83422(208) 354-8181(208) 354-8182 Get Directions Write a Review

NPPES record last updated: April 19, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Teton Valley Dental Center Pllc NPPES

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

TETON VALLEY DENTAL CENTER PLLC (NPI 1801112628) is a healthcare organization registered as a dental in Driggs, Idaho and active in the NPI registry since April 2010. The organization lists Susette Brizzee, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1801112628
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameTETON VALLEY DENTAL CENTER PLLC
Location Address235 E. WALLACE AVE.Driggs, ID 83422-0791
Mailing AddressPo Box 791, 235 E Wallace Ave.Driggs, ID 83422-0791 · (208) 354-8181 · Fax (208) 354-8182
Phone(208) 354-8181
Fax(208) 354-8182
Organization SubpartNo
Authorized OfficialSusette BrizzeeOffice Manager · (208) 354-8181
Enumeration DateApril 19, 2010
✔ NPI 1801112628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
Licenses✔ Licensed in ID · D-1657✔ Licensed in ID · D3634
235 E. WALLACE AVE., Driggs, ID 83422
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Other Identifiers 2

Medicaid001212401ID
Medicaid80597001ID

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 Teton Valley Dental Center PLLC's NPI number?

The NPI number for Teton Valley Dental Center PLLC is 1801112628. It was assigned to this organization in the NPPES registry on April 19, 2010.

Where is Teton Valley Dental Center PLLC located?

Teton Valley Dental Center PLLC is located at 235 E. Wallace Ave., Driggs, ID 83422. The listed phone number is (208) 354-8181.

What is Teton Valley Dental Center PLLC'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 Teton Valley Dental Center PLLC was last updated on April 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.