Dental Health Center

Primary specialty

DentistTaxonomy code 122300000X

License

D-4364 Issued in ID

Legal business name

DENTAL HEALTH CENTER

Practice address

56 Professional PLZ
Rexburg, ID 83440-2047

Phone

(208) 356-9262

Fax

(208) 356-4804

NPI assigned

Mar 7, 2018

Last updated

Mar 7, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Candace Weekes

Title

Office Coordinator

Phone

(208) 356-9262

Specialties & licenses 3

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Douglas 'J' Smith, DDS

  • General Practice Dentistry
  • Rexburg, ID
  • NPI 1316078397
  NPD (past)
• Scott Edmond Wilkes, D.D.S.

  • General Practice Dentistry
  • Rexburg, ID
  • NPI 1427189984
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520380800000",
    "number": "1184126039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 PROFESSIONAL PLZ",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834402047",
            "telephone_number": "208-356-9262",
            "fax_number": "208-356-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 PROFESSIONAL PLZ",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834402047",
            "telephone_number": "208-356-9262",
            "fax_number": "208-356-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-03-07",
        "status": "A",
        "authorized_official_last_name": "WEEKES",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "OFFICE COORDINATOR",
        "authorized_official_telephone_number": "208-356-9262"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "ID",
            "license": "D-4364",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D4364",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "ID",
            "license": "D-4364",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Del Holdings, LLC (Cure Touch Massage Therapy)
• Delterra (Moore Balance Coaching & Counseling)
• Amy Lynne Demordaunt, RN
• Wade Roger Demordaunt, O.D.
• Kerry Denney, M.ED.
• Dentistry for Kids P.a.
• Jeffrey Kenneth Despot, MS CF-SLP
• Destin Thayne Bep Inc
• Eliza Detemple
• Development Workshop, Inc. (Upper Valley Industries)

• Dentist in Rexburg, ID
• Providers in Rexburg, ID by specialty
• Dentist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.