OrganizationActive
Id Dental Associates, P.C.
NPI 1033560578 · Dentist · Idaho Falls, ID
Id Dental Associates, P.C. is a Dentist organization in Idaho Falls, ID (NPI 1033560578).
Provider details
- NPI number
- 1033560578
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Jason Bertollini, Prs(866) 273-8204
- License
- D-4206 (ID)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2818 S 25th E
Idaho Falls, ID 83404
Phone: (208) 243-8391
Fax: (208) 243-8391
Street-level locationGet directions
Mailing address
Po Box 3189
Syracuse, NY 13220-3189
Registry dates
- Enumerated
- 2016-06-27
- Last updated
- 2016-06-27
Frequently asked questions
- What is Id Dental Associates, P.C.'s NPI number?
- Id Dental Associates, P.C.'s National Provider Identifier (NPI) is 1033560578, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Id Dental Associates, P.C.?
- Id Dental Associates, P.C. is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Id Dental Associates, P.C. located?
- Id Dental Associates, P.C.'s practice location on file with NPPES is 2818 S 25th E, Idaho Falls, ID 83404.
- What is Id Dental Associates, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Id Dental Associates, P.C. is (208) 243-8391.
- Who is the authorized official for Id Dental Associates, P.C.?
- The authorized official listed on Id Dental Associates, P.C.'s NPPES record is Jason Bertollini, Prs. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Id Dental Associates, P.C.'s NPI active?
- Yes — Id Dental Associates, P.C.'s NPI (1033560578) is active in the NPPES registry as of the last update on 2016-06-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.