OrganizationActive
Childrens Dentistry of Fruitland
NPI 1619634250 · Pediatric Dentistry · Fruitland, ID
Childrens Dentistry of Fruitland is a Pediatric Dentistry organization in Fruitland, ID (NPI 1619634250).
Provider details
- NPI number
- 1619634250
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Parent organization
- Children'S Dentistry of Idaho, PLLC
- Organization subpart
- Yes
- Authorized official
- Rachel Mitchell, Business Manager(208) 467-5100
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(61/100 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
1950 N Whitley Dr
Fruitland, ID 83619-2143
Phone: (541) 709-5500
Fax: (208) 467-5199
Street-level locationGet directions
Mailing address
1950 N Whitley Dr
Fruitland, ID 83619-2143
Registry dates
- Enumerated
- 2021-11-18
- Last updated
- 2021-11-18
- Certified
- 2021-11-18
Frequently asked questions
- What is Childrens Dentistry of Fruitland's NPI number?
- Childrens Dentistry of Fruitland's National Provider Identifier (NPI) is 1619634250, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Childrens Dentistry of Fruitland?
- Childrens Dentistry of Fruitland is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Childrens Dentistry of Fruitland located?
- Childrens Dentistry of Fruitland's practice location on file with NPPES is 1950 N Whitley Dr, Fruitland, ID 83619-2143.
- What is Childrens Dentistry of Fruitland's phone number?
- The practice phone number listed in the NPPES registry for Childrens Dentistry of Fruitland is (541) 709-5500.
- Who is the authorized official for Childrens Dentistry of Fruitland?
- The authorized official listed on Childrens Dentistry of Fruitland's NPPES record is Rachel Mitchell, Business Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Childrens Dentistry of Fruitland's NPI active?
- Yes — Childrens Dentistry of Fruitland's NPI (1619634250) is active in the NPPES registry as of the last update on 2021-11-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.