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

Crestwood Dental

Organization Dental Clinic/Center · NPI 1396551792

Crestwood Dental is a Dental Clinic/Center in Idaho Falls, Idaho. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

2238 Saratoga Dr
Idaho Falls, ID 83404-5109
Phone: (208) 701-2720
Fax: (208) 357-4522
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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

Record details

NPI number1396551792
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Tall — Owner/Dentist · (208) 701-2720
NPI enumeratedDecember 10, 2024
Last updated in NPPESDecember 10, 2024
Certification dateDecember 10, 2024
Mailing address2238 Saratoga Dr, Idaho Falls, ID 83404-5109

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