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Mark Tall, DDS
NPI 1063515062 · General Practice Dentistry · Idaho Falls, ID
Mark Tall, DDS is a General Practice Dentistry provider in Idaho Falls, ID (NPI 1063515062).
Provider details
- NPI number
- 1063515062
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- D2018 (ID)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
2460 E 25th St
Idaho Falls, ID 83404
Phone: (208) 525-4780
Fax: (508) 525-4785
Street-level locationGet directions
Mailing address
5600 Solitude Ln
Idaho Falls, ID 83406
Registry dates
- Enumerated
- 2006-09-06
- Last updated
- 2007-07-08
Frequently asked questions
- What is Mark Tall's NPI number?
- Mark Tall's National Provider Identifier (NPI) is 1063515062, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Tall's specialty?
- Mark Tall is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Mark Tall located?
- Mark Tall's practice location on file with NPPES is 2460 E 25th St, Idaho Falls, ID 83404.
- What is Mark Tall's phone number?
- The practice phone number listed in the NPPES registry for Mark Tall is (208) 525-4780.
- Is Mark Tall's NPI active?
- Yes — Mark Tall's NPI (1063515062) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.