WEST RIVER DENTAL NPI 1295478519

NPI Information

  • NPI: 1295478519
  • Provider Name: WEST RIVER DENTAL
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 1850 W BROADWAY ST
    IDAHO FALLS, ID
    ZIP 83402
  • Phone: (208) 523-3453

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NPI Details

WEST RIVER DENTAL is a dental clinic center in Idaho Falls, ID. WEST RIVER DENTAL NPI is 1295478519. The provider is registered as an organization entity type.

The provider's business location address is:

1850 W BROADWAY ST
IDAHO FALLS, ID
ZIP 83402-044
Phone: (208) 523-3453
Fax: (208) 523-3458

The provider's authorized official is Dan R. Greenhalgh .
The authorized official title is Owner Doctor and has the following contact phone number (208) 523-3453.

The enumeration date for this NPI number is 4/14/2022 and was last updated on 4/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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