EXCELLENCE IN DENTISTRY PA
NPI 1881602266
Dentist - General Practice in Idaho Falls, ID

Active since August 03, 2006
2515 CHANNING WAY, IDAHO FALLS, ID 83404(208) 529-4321(208) 529-8609 Get Directions Write a Review

NPPES record last updated: December 17, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Excellence In Dentistry Pa NPPES

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

EXCELLENCE IN DENTISTRY PA (NPI 1881602266) is a healthcare organization registered as a general practice in Idaho Falls, Idaho and active in the NPI registry since August 2006. The organization lists Duane Kent Godfrey, Dentist, as its authorized official.

NPPES Registry Identity

NPI1881602266
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameEXCELLENCE IN DENTISTRY PA
Location Address2515 CHANNING WAYIdaho Falls, ID 83404-7516
Mailing Address2515 Channing WayIdaho Falls, ID 83404-7516 · (208) 529-4321 · Fax (208) 529-8609
Fax(208) 529-8609
Organization SubpartNo
Authorized OfficialDuane Kent GodfreyDentist · (208) 529-4321
Enumeration DateAugust 3, 2006
Last NPPES UpdateDecember 17, 2010
NPI 1881602266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in ID · D1637 Licensed in ID · D3983
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.
2515 CHANNING WAY, Idaho Falls, ID 83404

Other Identifiers 2

Medicaid807539000ID
Medicaid000755500ID

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

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.

Dentist (General Practice)
2515 CHANNING WAY
IDAHO FALLS, ID 83404
Dentist (General Practice)
2515 CHANNING WAY
IDAHO FALLS, ID 83404

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 Excellence In Dentistry PA's NPI number?

The NPI number for Excellence In Dentistry PA is 1881602266. It was assigned to this organization in the NPPES registry on August 3, 2006.

Where is Excellence In Dentistry PA located?

Excellence In Dentistry PA is located at 2515 Channing Way, Idaho Falls, ID 83404. The listed phone number is (208) 529-4321.

What is Excellence In Dentistry PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Excellence In Dentistry PA accept?

Health plans from UnitedHealthcare list Excellence In Dentistry PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Excellence In Dentistry PA was last updated on December 17, 2010. 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.