OrganizationActive
Mountain River Dental PLLC
NPI 1366543563 · General Practice Dentistry · Victor, ID
Mountain River Dental PLLC is a General Practice Dentistry organization in Victor, ID (NPI 1366543563).
Provider details
- NPI number
- 1366543563
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Justin Bell, Co-Owner(208) 787-8100
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
404 Lupine Dr.
Victor, ID 83455
Phone: (208) 787-8100
Fax: (208) 787-8101
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 487
Victor, ID 83455-0487
Other names (DBA / former)
- Doing business as
- Mountain River Dental
Registry dates
- Enumerated
- 2006-09-26
- Last updated
- 2020-08-22
Frequently asked questions
- What is Mountain River Dental PLLC's NPI number?
- Mountain River Dental PLLC's National Provider Identifier (NPI) is 1366543563, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mountain River Dental PLLC?
- Mountain River Dental PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Mountain River Dental PLLC located?
- Mountain River Dental PLLC's practice location on file with NPPES is 404 Lupine Dr., Victor, ID 83455.
- What is Mountain River Dental PLLC's phone number?
- The practice phone number listed in the NPPES registry for Mountain River Dental PLLC is (208) 787-8100.
- Who is the authorized official for Mountain River Dental PLLC?
- The authorized official listed on Mountain River Dental PLLC's NPPES record is Justin Bell, Co-Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mountain River Dental PLLC's NPI active?
- Yes — Mountain River Dental PLLC's NPI (1366543563) 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.