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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

PONDERAY NEWCO PLLC
NPI 1942111307
Clinic/Center - Dental in Ponderay, ID

Active since September 15, 2026
476653 HIGHWAY 95 STE 1, PONDERAY, ID 83852(208) 265-6771 Get Directions Write a Review

NPPES record added: September 15, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Ponderay Newco Pllc NPPES

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

PONDERAY NEWCO PLLC (NPI 1942111307) is a healthcare organization registered as a dental in Ponderay, Idaho and active in the NPI registry since September 2026. The organization lists Kory Wilson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1942111307
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePONDERAY NEWCO PLLC
Location Address476653 HIGHWAY 95 STE 1Ponderay, ID 83852-9816
Mailing Address476653 Highway 95 Ste 1Ponderay, ID 83852-9816
Phone(208) 265-6771
Organization SubpartNo
Authorized OfficialKory WilsonCeo · (208) 661-7879
Enumeration DateSeptember 15, 2026
NPPES CertifiedSeptember 15, 2026
✔ NPI 1942111307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
476653 HIGHWAY 95 STE 1, Ponderay, ID 83852
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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 Ponderay Newco PLLC's NPI number?

The NPI number for Ponderay Newco PLLC is 1942111307. It was assigned to this organization in the NPPES registry on September 15, 2026.

Where is Ponderay Newco PLLC located?

Ponderay Newco PLLC is located at 476653 Highway 95 Ste 1, Ponderay, ID 83852. The listed phone number is (208) 265-6771.

What is Ponderay Newco 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 Ponderay Newco PLLC was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.