OrganizationActive
Crestwood Dental
NPI 1396551792 · Dental Clinic/Center · Idaho Falls, ID
Crestwood Dental is a Dental Clinic/Center organization in Idaho Falls, ID (NPI 1396551792).
Provider details
- NPI number
- 1396551792
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Tall, Owner/Dentist(208) 701-2720
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
2238 Saratoga Dr
Idaho Falls, ID 83404-5109
Phone: (208) 701-2720
Fax: (208) 357-4522
Street-level locationGet directions
Mailing address
2238 Saratoga Dr
Idaho Falls, ID 83404-5109
Registry dates
- Enumerated
- 2024-12-10
- Last updated
- 2024-12-10
- Certified
- 2024-12-10
Frequently asked questions
- What is Crestwood Dental's NPI number?
- Crestwood Dental's National Provider Identifier (NPI) is 1396551792, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Crestwood Dental?
- Crestwood Dental is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Crestwood Dental located?
- Crestwood Dental's practice location on file with NPPES is 2238 Saratoga Dr, Idaho Falls, ID 83404-5109.
- What is Crestwood Dental's phone number?
- The practice phone number listed in the NPPES registry for Crestwood Dental is (208) 701-2720.
- Who is the authorized official for Crestwood Dental?
- The authorized official listed on Crestwood Dental's NPPES record is Mark Tall, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Crestwood Dental's NPI active?
- Yes — Crestwood Dental's NPI (1396551792) is active in the NPPES registry as of the last update on 2024-12-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.