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

Center for Dental Excellence LLC

Organization Dental Clinic/Center · NPI 1376852939

Center for Dental Excellence LLC is a Dental Clinic/Center in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2010.

Licensed in
ID
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1525 Baldy Ave
Pocatello, ID 83201-7117
Phone: (208) 238-0011
Fax: (208) 904-3843
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence D3808 (ID)

Record details

NPI number1376852939
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeremy Hodge — Owner · (208) 238-0011
NPI enumeratedSeptember 30, 2010
Last updated in NPPESNovember 18, 2010
Mailing address1525 Baldy Ave, Pocatello, ID 83201-7117

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