Organization · Type 2 NPI

Community Council of Idaho Inc

Dentist · Idaho Falls, ID

NPI number 1164101754 Active

Practice location

3387 Merlin Dr
Idaho Falls, ID 83404

Call (208) 281-1222 Map

Fax (208) 524-9390

Mailing address

2100 Alan St
Idaho Falls, ID 83404

Specialties and licenses

Taxonomy	Code	License
Dentist Primary	122300000X	None listed
Public Health Dentistry	1223D0001X	None listed
General Practice Dentistry	1223G0001X	None listed
Oral and Maxillofacial Radiology Dentistry	1223X0008X	None listed

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

3 other providers at this address

Other dentist providers in Idaho Falls

See all in Idaho Falls →

About NPI 1164101754

Community Council of Idaho Inc's National Provider Identifier is 1164101754, issued on Jul 12, 2023. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Idaho Falls, ID. The record was last updated on Jul 16, 2025.