RIVERWEST DENTAL, PLLC (NPI# 1134356140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134356140 |
| Entity Type | Organization |
| Organization Name | RIVERWEST DENTAL, PLLC |
| Other Organization Name | RIVERWEST DENTAL |
| Practice Address |
1655 Pancheri Dr. Idaho Falls ID 83402 |
| Practice Telephone | 2085221911 |
| Practice Fax Number | 2085234441 |
| Mailing Telephone | 2085221911 |
| Mailing Fax Number | 2085234441 |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2009-06-17 |
| Authorized Official Name | DR. JUSTIN D BELL (MANAGER) |
| Authorized Official Telephone | 2085221911 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| RiverWest Dental | Doing Business As Name - Organization |
| Street Address |
1655 PANCHERI DR. |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648015 | Abigail Oakley | Counselor | Tueller Counseling Services, 2275 W Broadway Suite G, Idaho Falls, ID 83402 | 2020-10-30 |
| 1265041479 | Fresenius Medical Care Snake River | Clinic/Center | 3195 South Fork Blvd, Idaho Falls, ID 83402 | 2020-07-24 |
| 1295352391 | Fresenius Medical Care Idaho Falls, LLC | Clinic/Center | 3193 South Fork Blvd, Idaho Falls, ID 83402 | 2020-07-06 |
| 1952923765 | Sterling Provider Group | Clinic/Center | 7017 Daisy Lane, Idaho Falls, ID 83402 | 2020-05-14 |
| 1528604188 | Leslie Hendrian | Massage Therapist | 86 N Kaylee Circle, Idaho Falls, ID 83402 | 2019-11-19 |
| 1154966760 | Christine Nicole Cardona | Counselor | 855 N. Captital Ave Ste 1, Idaho Falls, ID 83402 | 2019-11-07 |
| 1750847786 | Brandi S Warnke | Social Worker | 254 E Street, Suite B, Idaho Falls, ID 83402 | 2019-02-14 |
| 1013402809 | Kailey Lynn Moore | Pharmacist | 376 West 18th Street, Idaho Falls, ID 83402 | 2018-06-25 |
| 1407368616 | Jessica Owsley | Social Worker | 2275 W Broadway Ste G, Idaho Falls, ID 83402 | 2017-10-27 |
| 1427419886 | Becky Allen | Developmental Therapist | 150 Shoupe Ave, Idaho Falls, ID 83402 | 2016-03-14 |
| Find all providers in zip 83402 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396236501 | John Andrew Chappell | Dentist | 1820 John Adams Pkwy, Idaho Falls, ID 83401-4315 | 2018-05-23 |
| 1326395385 | Eagle Rock Dental Care Pllc | Dentist | 2205 Channing Way Ste B, Idaho Falls, ID 83404-8016 | 2012-08-09 |
| 1194046037 | Esther B. Machen | Dentist | 3500 Potomac Way, Suite 200, Idaho Falls, ID 83404-4974 | 2010-06-15 |
| 1003144114 | Sunnyside Dental Care PC | Dentist | 1520 Elk Creek Dr, Idaho Falls, ID 83404-8322 | 2009-12-01 |
| 1033443478 | Soft Touch Dental | Dentist | 3350 S 15 Th E, Idaho Falls, ID 83404 | 2009-10-01 |
| 1932368222 | Elison Dental Center | Dentist | 3656 Washington Pkwy, Idaho Falls, ID 83404-7573 | 2008-06-03 |
| 1851590152 | Mark Aaron Chambers | Dentist | 2860 Valencia Dr Ste 101, Idaho Falls, ID 83404-7597 | 2007-07-16 |
| 1306053350 | Layne K Mccord | Dentist | 3411 Merlin Dr, Idaho Falls, ID 83404-7430 | 2007-05-17 |
| 1891837050 | Nathan Jay Crandall | Dentist | 1991 W Broadway St # 1, Idaho Falls, ID 83402-3041 | 2007-02-13 |
| 1851438709 | Jay M. Harris | Dentist | 3815 Washington Pkwy, Idaho Falls, ID 83404-7591 | 2007-01-31 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83402 |
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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.