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

Childrens Dentistry of Fruitland

Organization Pediatric Dentistry · NPI 1619634250

Childrens Dentistry of Fruitland is a Pediatric Dentistry in Fruitland, Idaho. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1950 N Whitley Dr
Fruitland, ID 83619-2143
Phone: (541) 709-5500
Fax: (208) 467-5199
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1619634250
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationChildren's Dentistry of Idaho, PLLC
Authorized official Rachel Mitchell — Business Manager · (208) 467-5100
NPI enumeratedNovember 18, 2021
Last updated in NPPESNovember 18, 2021
Certification dateNovember 18, 2021
Mailing address1950 N Whitley Dr, Fruitland, ID 83619-2143

Other providers in Fruitland