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ANDREA S RADABAUGH DDS PLLC
NPI 1811281397
Dentist in Craigmont, ID

Active since June 02, 2011
420 DIVISION AVE, CRAIGMONT, ID 83523(208) 924-5830 Get Directions Write a Review

NPPES record last updated: June 21, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Andrea S Radabaugh Dds Pllc NPPES

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

ANDREA S RADABAUGH DDS PLLC (NPI 1811281397) is a healthcare organization registered as a dentist in Craigmont, Idaho and active in the NPI registry since June 2011. The organization lists Andrea S Radabaugh, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1811281397
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameANDREA S RADABAUGH DDS PLLC
Location Address420 DIVISION AVECraigmont, ID 83523
Mailing AddressPo Box 218Craigmont, ID 83523-0218 · (530) 333-7853
Phone(208) 924-5830
Organization SubpartNo
Authorized OfficialAndrea S RadabaughOwner Dentist · (530) 333-7853
Enumeration DateJune 2, 2011
Last NPPES UpdateJune 21, 2011
✔ NPI 1811281397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in ID · D4296
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
420 DIVISION AVE, Craigmont, ID 83523
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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

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 Andrea S Radabaugh Dds PLLC's NPI number?

The NPI number for Andrea S Radabaugh Dds PLLC is 1811281397. It was assigned to this organization in the NPPES registry on June 2, 2011.

Where is Andrea S Radabaugh Dds PLLC located?

Andrea S Radabaugh Dds PLLC is located at 420 Division Ave, Craigmont, ID 83523. The listed phone number is (208) 924-5830.

What is Andrea S Radabaugh Dds PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Andrea S Radabaugh Dds PLLC was last updated on June 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.