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

Clubhouse Pediatric Dentistry of Madison

Organization Pediatric Dentistry · NPI 1306321351

Clubhouse Pediatric Dentistry of Madison is a Pediatric Dentistry in Rexburg, Idaho. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

859 S Yellowstone Hwy
Rexburg, ID 83440-5293
Phone: (208) 552-5439
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 number1306321351
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Robison — Financial Coordinator · (208) 520-1514
NPI enumeratedSeptember 26, 2018
Last updated in NPPESSeptember 26, 2018
Mailing address859 S Yellowstone Hwy, Rexburg, ID 83440-5293

Other providers in Rexburg