OrganizationActive
Tdcjerome PLLC
NPI 1104229913 · General Practice Dentistry · Jerome, ID
Tdcjerome PLLC is a General Practice Dentistry organization in Jerome, ID (NPI 1104229913).
Provider details
- NPI number
- 1104229913
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Don Wyatt, Owner(208) 324-8861
- License
- D4052 (ID)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
119 Country Ln
Jerome, ID 83338-6147
Phone: (208) 324-8861
Fax: (208) 324-8899
Street-level locationGet directions
Mailing address
119 Country Ln
Jerome, ID 83338-6147
Other names (DBA / former)
- Doing business as
- Today'S Dental Care
Registry dates
- Enumerated
- 2014-10-07
- Last updated
- 2014-10-07
Frequently asked questions
- What is Tdcjerome PLLC's NPI number?
- Tdcjerome PLLC's National Provider Identifier (NPI) is 1104229913, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tdcjerome PLLC?
- Tdcjerome PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Tdcjerome PLLC located?
- Tdcjerome PLLC's practice location on file with NPPES is 119 Country Ln, Jerome, ID 83338-6147.
- What is Tdcjerome PLLC's phone number?
- The practice phone number listed in the NPPES registry for Tdcjerome PLLC is (208) 324-8861.
- Who is the authorized official for Tdcjerome PLLC?
- The authorized official listed on Tdcjerome PLLC's NPPES record is Don Wyatt, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tdcjerome PLLC's NPI active?
- Yes — Tdcjerome PLLC's NPI (1104229913) is active in the NPPES registry as of the last update on 2014-10-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.