OrganizationActive
Enduradent PLLC
NPI 1720656598 · Dental Clinic/Center · Driggs, ID
Enduradent PLLC is a Dental Clinic/Center organization in Driggs, ID (NPI 1720656598).
Provider details
- NPI number
- 1720656598
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jacob Tall, General Dentist(208) 521-7888
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
33 East Harper Ave
Driggs, ID 83422
Phone: (208) 521-7888
Street-level locationGet directions
Mailing address
1805 Eagles Homestead Dr
Ammon, ID 83406-4757
Other names (DBA / former)
- Doing business as
- Ski Hill Dental
Registry dates
- Enumerated
- 2021-06-16
- Last updated
- 2021-06-16
- Certified
- 2021-05-23
Frequently asked questions
- What is Enduradent PLLC's NPI number?
- Enduradent PLLC's National Provider Identifier (NPI) is 1720656598, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Enduradent PLLC?
- Enduradent PLLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Enduradent PLLC located?
- Enduradent PLLC's practice location on file with NPPES is 33 East Harper Ave, Driggs, ID 83422.
- What is Enduradent PLLC's phone number?
- The practice phone number listed in the NPPES registry for Enduradent PLLC is (208) 521-7888.
- Who is the authorized official for Enduradent PLLC?
- The authorized official listed on Enduradent PLLC's NPPES record is Jacob Tall, General Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Enduradent PLLC's NPI active?
- Yes — Enduradent PLLC's NPI (1720656598) is active in the NPPES registry as of the last update on 2021-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.