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MOUNTAIN HOME DENTAL PC
NPI 1801437447
Clinic/Center - Dental in Mountain Home, ID

Active since October 04, 2019
455 N 3RD E, MOUNTAIN HOME, ID 83647(208) 587-2625 Get Directions Write a Review

NPPES record last updated: January 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 21, 2020, Oct 4, 2019 (2 updates tracked since 2019).

About Mountain Home Dental Pc NPPES

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

MOUNTAIN HOME DENTAL PC (NPI 1801437447) is a healthcare organization registered as a dental in Mountain Home, Idaho and active in the NPI registry since October 2019. The organization lists Jared Sexauer, Dentist, as its authorized official.

NPPES Registry Identity

NPI1801437447
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMOUNTAIN HOME DENTAL PC
Location Address455 N 3RD EMountain Home, ID 83647
Mailing Address685 N 4th EMountain Home, ID 83647-2134 · (208) 599-3189
Phone(208) 587-2625
Organization SubpartNo
Authorized OfficialJared SexauerDentist · (208) 599-3189
Enumeration DateOctober 4, 2019
Last NPPES UpdateJanuary 21, 20202 updates tracked since enumeration
✔ NPI 1801437447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
455 N 3RD E, Mountain Home, ID 83647
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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.

FAMILY VISION CARE INC
Optometrist
455 N 3RD E
MOUNTAIN HOME, ID 83647
Elmore County (208) 587-3661
DR. JARED SEXAUER DMD
Dentist (General Practice)
455 N 3RD E
MOUNTAIN HOME, ID 83647
Elmore County (208) 587-2625

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 Mountain Home Dental PC's NPI number?

The NPI number for Mountain Home Dental PC is 1801437447. It was assigned to this organization in the NPPES registry on October 4, 2019.

Where is Mountain Home Dental PC located?

Mountain Home Dental PC is located at 455 N 3rd E, Mountain Home, ID 83647. The listed phone number is (208) 587-2625.

What is Mountain Home Dental PC'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 Mountain Home Dental PC was last updated on January 21, 2020. 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.