OrganizationActive
Eagle Dental Partnership PLLC
NPI 1639732399 · General Practice Dentistry · Eagle, ID
Eagle Dental Partnership PLLC is a General Practice Dentistry organization in Eagle, ID (NPI 1639732399).
Provider details
- NPI number
- 1639732399
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Leah Gardoski, Insurance Administrator(208) 939-3500
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
577 E State St
Eagle, ID 83616-5938
Phone: (208) 939-3500
Fax: (208) 939-3837
Street-level locationGet directions
Mailing address
577 E State St
Eagle, ID 83616-5938
Other names (DBA / former)
- Doing business as
- Ascend Dental
Additional practice locations (1)
- 450 W State St Ste 115Eagle, ID 83616-7055Phone: (208) 342-4644
Registry dates
- Enumerated
- 2019-04-18
- Last updated
- 2025-08-11
Frequently asked questions
- What is Eagle Dental Partnership PLLC's NPI number?
- Eagle Dental Partnership PLLC's National Provider Identifier (NPI) is 1639732399, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eagle Dental Partnership PLLC?
- Eagle Dental Partnership PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Eagle Dental Partnership PLLC located?
- Eagle Dental Partnership PLLC's practice location on file with NPPES is 577 E State St, Eagle, ID 83616-5938.
- What is Eagle Dental Partnership PLLC's phone number?
- The practice phone number listed in the NPPES registry for Eagle Dental Partnership PLLC is (208) 939-3500.
- Who is the authorized official for Eagle Dental Partnership PLLC?
- The authorized official listed on Eagle Dental Partnership PLLC's NPPES record is Leah Gardoski, Insurance Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eagle Dental Partnership PLLC's NPI active?
- Yes — Eagle Dental Partnership PLLC's NPI (1639732399) is active in the NPPES registry as of the last update on 2025-08-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.