OrganizationActive
Mountain River Dental
NPI 1912136433 · Dental Clinic/Center · Victor, ID
Mountain River Dental is a Dental Clinic/Center organization in Victor, ID (NPI 1912136433).
Provider details
- NPI number
- 1912136433
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Richard George, Owner(208) 787-8100
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
404 Lupine Drive
Victor, ID 83455-0487
Phone: (208) 787-8100
Fax: (208) 787-8101
Approximate (ZIP-level) locationGet directions
Mailing address
404 Lupine Drive P.o. Box 487
Victor, ID 83455-0487
Registry dates
- Enumerated
- 2009-07-06
- Last updated
- 2009-07-06
Frequently asked questions
- What is Mountain River Dental's NPI number?
- Mountain River Dental's National Provider Identifier (NPI) is 1912136433, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mountain River Dental?
- Mountain River Dental is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Mountain River Dental located?
- Mountain River Dental's practice location on file with NPPES is 404 Lupine Drive, Victor, ID 83455-0487.
- What is Mountain River Dental's phone number?
- The practice phone number listed in the NPPES registry for Mountain River Dental is (208) 787-8100.
- Who is the authorized official for Mountain River Dental?
- The authorized official listed on Mountain River Dental's NPPES record is Richard George, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mountain River Dental's NPI active?
- Yes — Mountain River Dental's NPI (1912136433) is active in the NPPES registry as of the last update on 2009-07-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.