OrganizationActive
Madison Park Dental Center PLLC
NPI 1093849226 · Dentist · Rexburg, ID
Madison Park Dental Center PLLC is a Dentist organization in Rexburg, ID (NPI 1093849226).
Provider details
- NPI number
- 1093849226
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Robert Walker, President(208) 356-5601
- License
- D1657 D3634 (ID)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 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
35 Madison Professional Park
Rexburg, ID 83440
Phone: (208) 356-5601
Fax: (208) 356-8788
Approximate (ZIP-level) locationGet directions
Mailing address
35 Madison Professional Park
Rexburg, ID 83440
Registry dates
- Enumerated
- 2007-03-16
- Last updated
- 2020-08-22
Frequently asked questions
- What is Madison Park Dental Center PLLC's NPI number?
- Madison Park Dental Center PLLC's National Provider Identifier (NPI) is 1093849226, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Madison Park Dental Center PLLC?
- Madison Park Dental Center PLLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Madison Park Dental Center PLLC located?
- Madison Park Dental Center PLLC's practice location on file with NPPES is 35 Madison Professional Park, Rexburg, ID 83440.
- What is Madison Park Dental Center PLLC's phone number?
- The practice phone number listed in the NPPES registry for Madison Park Dental Center PLLC is (208) 356-5601.
- Who is the authorized official for Madison Park Dental Center PLLC?
- The authorized official listed on Madison Park Dental Center PLLC's NPPES record is Robert Walker, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Madison Park Dental Center PLLC's NPI active?
- Yes — Madison Park Dental Center PLLC's NPI (1093849226) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.