OrganizationActive
Center for Dental Excellence LLC
NPI 1376852939 · Dental Clinic/Center · Pocatello, ID
Provider details
- NPI number
- 1376852939
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jeremy Hodge, Owner(208) 238-0011
- License
- D3808 (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
1525 Baldy Ave
Pocatello, ID 83201-7117
Phone: (208) 238-0011
Fax: (208) 904-3843
Street-level locationGet directions
Mailing address
1525 Baldy Ave
Pocatello, ID 83201-7117
Registry dates
- Enumerated
- 2010-09-30
- Last updated
- 2010-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.