OrganizationActive
Idaho City Family Dentistry
NPI 1992964597 · General Practice Dentistry · Idaho City, ID
Provider details
- NPI number
- 1992964597
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Shane Vania, Dentist(208) 392-9900
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
219 Main Street
Idaho City, ID 83631
Phone: (208) 392-9900
Fax: (208) 392-9933
Street-level locationGet directions
Mailing address
219 Main Street
Idaho City, ID 83631-1010
Registry dates
- Enumerated
- 2008-06-09
- Last updated
- 2008-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.