DENTISTRY FOR KIDS PLLC (NPI# 1679812002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679812002 |
| Entity Type | Organization |
| Organization Name | DENTISTRY FOR KIDS PLLC |
| Other Organization Name | TOOTH TOWN |
| Practice Address |
625 E Alameda Rd. Pocatello ID 83201 |
| Practice Telephone | 2082371567 |
| Practice Fax Number | 2084785097 |
| Mailing Telephone | 2082371567 |
| Mailing Fax Number | 2084785097 |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2013-02-05 |
| Authorized Official Name | ROBERT D. MCWHORTER (PRESIDENT) |
| Authorized Official Telephone | 2082371567 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
D-4186-PD | ID | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
D-3451-PD | ID | Dental Providers |
| Other Name | Type Code |
|---|---|
| Tooth Town | Doing Business As Name - Organization |
| Street Address |
625 E ALAMEDA RD. |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588823264 | Children's Dentistry of Pocatello | Dentist | 425 E Alameda Rd, Pocatello, ID 83201-3609 | 2008-06-06 |
| 1144395609 | Robert Daniel Mcwhorter | Dentist | 625 E Alameda Rd, Pocatello, ID 83201-3622 | 2006-11-21 |
| 1093247462 | Devin Wright Belnap | Dentist | 625 E Alameda Rd, Pocatello, ID 83201-3622 | 2017-04-03 |
| 1942741681 | Morgen Bybee Dds Pa | Dentist | 716 Yellowstone Ave, Pocatello, ID 83201-4407 | 2017-03-14 |
| 1255730370 | Children's Dentistry of Pocatello | Dentist | 425 E Alameda Rd, Pocatello, ID 83201-3609 | 2014-08-14 |
| 1598048969 | Morgen Bybee | Dentist | 716 Yellowstone Ave, Pocatello, ID 83201-4407 | 2011-09-22 |
| 1114067105 | Valley Dental Pa | Dentist | 716 Yellowstone Ave, Pocatello, ID 83201-4407 | 2007-02-07 |
| 1679687263 | Leroy Russel Misner Jr. | Dentist | 716 Yellowstone Ave, Pocatello, ID 83201-4407 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657010 | Rigby Pediatric Dental Pllc | Dentist | 688 Rigby Lake Circle, Suite 4, Rigby, ID 83442 | 2020-04-03 |
| 1154805786 | Jmj Nampa LLC | Dentist | 914 12th Ave Rd, Nampa, ID 83686 | 2018-09-19 |
| 1932683752 | Ikdo State Street LLC | Dentist | 9209 W State St, Garden City, ID 83714 | 2018-09-18 |
| 1902325749 | Cherry Lane Kids Dentistry | Dentist | 1558 N Crestmont Dr Ste A, Meridian, ID 83642-2194 | 2017-09-13 |
| 1922462142 | Our Town Family Dentistry | Dentist | 39 W Idaho St, Weiser, ID 83672-1943 | 2016-04-13 |
| 1720447097 | Brock Coletti | Dentist | 3235 N Towerbridge Way Ste 200, Meridian, ID 83646-5721 | 2016-02-15 |
| 1154799047 | Smiles 4 Kids Blackfoot Pllc | Dentist | 621 Jensen Grove Dr, Blackfoot, ID 83221-1685 | 2015-09-09 |
| 1982012498 | Dallin J. Dance | Dentist | 1027 W. Prairie Ave., Hayden, ID 83835 | 2014-07-28 |
| 1609106012 | Cordell Denton Nebeker | Dentist | 4111 Clocktower Ave., Caldwell, ID 83607 | 2010-01-07 |
| 1316192370 | A Childs Smile | Dentist | 3299 E. 17th Street, Ammon, ID 83406 | 2008-11-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.