OrganizationActive
Modern Smiles Pocatello PC
NPI 1609592435 · Dental Clinic/Center · Pocatello, ID
Modern Smiles Pocatello PC is a Dental Clinic/Center organization in Pocatello, ID (NPI 1609592435).
Provider details
- NPI number
- 1609592435
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Stephanie Frank, Credentialing Coordinator(509) 570-6879
Specialties & taxonomies
Ambulatory Health Care Facilities
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
3 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
1800 Flandro Dr Ste 340
Pocatello, ID 83202-4944
Phone: (208) 238-1900
Street-level locationGet directions
Mailing address
1800 Flandro Dr Ste 340
Pocatello, ID 83202-4944
Registry dates
- Enumerated
- 2022-10-13
- Last updated
- 2023-02-10
- Certified
- 2023-02-10
Frequently asked questions
- What is Modern Smiles Pocatello PC's NPI number?
- Modern Smiles Pocatello PC's National Provider Identifier (NPI) is 1609592435, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Modern Smiles Pocatello PC?
- Modern Smiles Pocatello PC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Modern Smiles Pocatello PC located?
- Modern Smiles Pocatello PC's practice location on file with NPPES is 1800 Flandro Dr Ste 340, Pocatello, ID 83202-4944.
- What is Modern Smiles Pocatello PC's phone number?
- The practice phone number listed in the NPPES registry for Modern Smiles Pocatello PC is (208) 238-1900.
- Who is the authorized official for Modern Smiles Pocatello PC?
- The authorized official listed on Modern Smiles Pocatello PC's NPPES record is Stephanie Frank, Credentialing Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Modern Smiles Pocatello PC's NPI active?
- Yes — Modern Smiles Pocatello PC's NPI (1609592435) is active in the NPPES registry as of the last update on 2023-02-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.