CROOKSTON DENTAL PLLC NPI 1982508727

NPI Information

  • NPI: 1982508727
  • Provider Name: CROOKSTON DENTAL PLLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • :
  • Address: 2015 N LOCUST GROVE RD
    MERIDIAN, ID
    ZIP 83646
  • Phone: (208) 377-3206

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NPI Details

CROOKSTON DENTAL PLLC is a dental clinic center in Meridian, ID. CROOKSTON DENTAL PLLC NPI is 1982508727. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

2015 N LOCUST GROVE RD
MERIDIAN, ID
ZIP 83646-827
Phone: (208) 377-3206

The provider's authorized official is Devon Merrill Crookston .
The authorized official title is Dentist/owner and has the following contact phone number (208) 899-6592.

The enumeration date for this NPI number is 10/6/2026 and was last updated on 10/6/2026.

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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