OrganizationActive
Magic Valley Family Dental
NPI 1477723955 · General Practice Dentistry · Rupert, ID
Magic Valley Family Dental is a General Practice Dentistry organization in Rupert, ID (NPI 1477723955).
Provider details
- NPI number
- 1477723955
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Denise Mallory, Office Manager(208) 436-4532
- License
- D3903 (ID)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
115 W 100 S
Rupert, ID 83350-9125
Phone: (208) 436-4532
Street-level locationGet directions
Mailing address
115 W 100 S
Rupert, ID 83350-9125
Registry dates
- Enumerated
- 2008-03-11
- Last updated
- 2008-03-11
Frequently asked questions
- What is Magic Valley Family Dental's NPI number?
- Magic Valley Family Dental's National Provider Identifier (NPI) is 1477723955, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Magic Valley Family Dental?
- Magic Valley Family Dental is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Magic Valley Family Dental located?
- Magic Valley Family Dental's practice location on file with NPPES is 115 W 100 S, Rupert, ID 83350-9125.
- What is Magic Valley Family Dental's phone number?
- The practice phone number listed in the NPPES registry for Magic Valley Family Dental is (208) 436-4532.
- Who is the authorized official for Magic Valley Family Dental?
- The authorized official listed on Magic Valley Family Dental's NPPES record is Denise Mallory, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Magic Valley Family Dental's NPI active?
- Yes — Magic Valley Family Dental's NPI (1477723955) is active in the NPPES registry as of the last update on 2008-03-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.