Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Avalon Dental PC

Organization Dental Clinic/Center · NPI 1962850933

Avalon Dental PC is a Dental Clinic/Center in Kuna, Idaho. Licensed in Idaho. Registered with an NPI since 2016.

Licensed in
ID
In the registry since
2016
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

672 E Wythe Creek Ct Ste 101
Kuna, ID 83634-5216
Phone: (208) 629-2800
Fax: (208) 629-2801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence D3875 (ID)

Record details

NPI number1962850933
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Grant — Owner · (208) 629-2800
NPI enumeratedMay 31, 2016
Last updated in NPPESMay 31, 2016
Mailing address672 E Wythe Creek Ct, Ste 101, Kuna, ID 83634-5216

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