Individual provider · Type 1 NPI

Jake Groberg

General Practice Dentistry · Pocatello, ID

NPI number 1700728391 Active

Practice location

465 Memorial Dr
Pocatello, ID 83201-4008

Call (208) 282-6000 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X3581210 (ID)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

115 other providers at this address

Other general practice dentistry providers in Pocatello

See all in Pocatello →

About NPI 1700728391

Jake Groberg's National Provider Identifier is 1700728391, issued on Apr 6, 2026. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Pocatello, ID. The record was last updated on Jun 24, 2026.