OrganizationActive
Jerome Toothtown PLLC
NPI 1568100857 · Pediatric Dentistry · Jerome, ID
Jerome Toothtown PLLC is a Pediatric Dentistry organization in Jerome, ID (NPI 1568100857).
Provider details
- NPI number
- 1568100857
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jesse Ivie, Manager(208) 539-9876
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
1555 S Lincoln Ave
Jerome, ID 83338-6136
Phone: (208) 539-9876
Street-level locationGet directions
Mailing address
1555 S Lincoln Ave
Jerome, ID 83338-6136
Registry dates
- Enumerated
- 2022-05-25
- Last updated
- 2022-05-25
- Certified
- 2022-05-25
Frequently asked questions
- What is Jerome Toothtown PLLC's NPI number?
- Jerome Toothtown PLLC's National Provider Identifier (NPI) is 1568100857, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jerome Toothtown PLLC?
- Jerome Toothtown PLLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Jerome Toothtown PLLC located?
- Jerome Toothtown PLLC's practice location on file with NPPES is 1555 S Lincoln Ave, Jerome, ID 83338-6136.
- What is Jerome Toothtown PLLC's phone number?
- The practice phone number listed in the NPPES registry for Jerome Toothtown PLLC is (208) 539-9876.
- Who is the authorized official for Jerome Toothtown PLLC?
- The authorized official listed on Jerome Toothtown PLLC's NPPES record is Jesse Ivie, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jerome Toothtown PLLC's NPI active?
- Yes — Jerome Toothtown PLLC's NPI (1568100857) is active in the NPPES registry as of the last update on 2022-05-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.