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AVALON DENTAL PC
NPI 1962850933
Clinic/Center - Dental in Kuna, ID

Active since May 31, 2016
672 E WYTHE CREEK CT, STE 101, KUNA, ID 83634(208) 629-2800(208) 629-2801 Get Directions Write a Review

NPPES record last updated: May 31, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Avalon Dental Pc NPPES

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

AVALON DENTAL PC (NPI 1962850933) is a healthcare organization registered as a dental in Kuna, Idaho and active in the NPI registry since May 2016. The organization lists James D. Grant, Owner, as its authorized official.

NPPES Registry Identity

NPI1962850933
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameAVALON DENTAL PC
Location Address672 E WYTHE CREEK CT, STE 101Kuna, ID 83634-5216
Mailing Address672 E Wythe Creek Ct, Ste 101Kuna, ID 83634-5216 · (208) 629-2800 · Fax (208) 629-2801
Phone(208) 629-2800
Fax(208) 629-2801
Organization SubpartNo
Authorized OfficialJames D. GrantOwner · (208) 629-2800
Enumeration DateMay 31, 2016
✔ NPI 1962850933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in ID · D3875
672 E WYTHE CREEK CT, Kuna, ID 83634
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Other Identifiers 1

Other1447345491ID · Individual Provider

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.

MIKAELA VIRGIN PT
Physical Therapist
672 E WYTHE CREEK CT
KUNA, ID 83634
Ada County (208) 922-9828
ALEXIS PETTERSEN PT, DPT
Physical Therapist
672 E WYTHE CREEK CT
KUNA, ID 83634
Ada County (208) 922-9828

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 Avalon Dental PC's NPI number?

The NPI number for Avalon Dental PC is 1962850933. It was assigned to this organization in the NPPES registry on May 31, 2016.

Where is Avalon Dental PC located?

Avalon Dental PC is located at 672 E Wythe Creek Ct Ste 101, Kuna, ID 83634. The listed phone number is (208) 629-2800.

What is Avalon 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 Avalon Dental PC was last updated on May 31, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.