OrganizationActive
Valley Dental PA
NPI 1114067105 · Pediatric Dentistry · Pocatello, ID
Valley Dental PA is a Pediatric Dentistry organization in Pocatello, ID (NPI 1114067105).
Provider details
- NPI number
- 1114067105
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Larry Bybee, Owner(208) 478-5437
- License
- D1664 (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
716 Yellowstone Ave
Pocatello, ID 83201-4407
Phone: (208) 478-5437
Fax: (208) 232-5490
Street-level locationGet directions
Mailing address
716 Yellowstone Ave
Pocatello, ID 83201-4407
Other names (DBA / former)
- Doing business as
- Kidds Dental
Registry dates
- Enumerated
- 2007-02-07
- Last updated
- 2016-11-30
Frequently asked questions
- What is Valley Dental PA's NPI number?
- Valley Dental PA's National Provider Identifier (NPI) is 1114067105, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Valley Dental PA?
- Valley Dental PA is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Valley Dental PA located?
- Valley Dental PA's practice location on file with NPPES is 716 Yellowstone Ave, Pocatello, ID 83201-4407.
- What is Valley Dental PA's phone number?
- The practice phone number listed in the NPPES registry for Valley Dental PA is (208) 478-5437.
- Who is the authorized official for Valley Dental PA?
- The authorized official listed on Valley Dental PA's NPPES record is Larry Bybee, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Valley Dental PA's NPI active?
- Yes — Valley Dental PA's NPI (1114067105) is active in the NPPES registry as of the last update on 2016-11-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.