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

Eagle Rock Dental Care PLLC

Organization General Practice Dentistry · NPI 1326395385

Eagle Rock Dental Care PLLC is a General Practice Dentistry in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2012.

Licensed in
ID
In the registry since
2012
Specialties on file
6
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2205 Channing Way Ste B
Idaho Falls, ID 83404-8016
Phone: (208) 529-3660
Fax: (208) 529-3666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D3063 (ID)
General Practice Dentistry Taxonomy 1223G0001X · Licence D4138 (ID)
General Practice Dentistry Taxonomy 1223G0001X · Licence D1890 (ID)
General Practice Dentistry Taxonomy 1223G0001X · Licence D4036 (ID)
General Practice Dentistry Taxonomy 1223G0001X · Licence D4369 (ID)
General Practice Dentistry Taxonomy 1223G0001X · Licence D1608 (ID)

Record details

NPI number1326395385
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationEagle Rock Dental Care PLLC
Authorized official Trudee Chapple — Office Administrator · (208) 523-5400
NPI enumeratedAugust 9, 2012
Last updated in NPPESAugust 24, 2012
Mailing address2205 Channing Way Ste B, Idaho Falls, ID 83404-8016

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