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

Foothills Dental Care, PLLC

Organization Dentist · NPI 1205175668

Foothills Dental Care, PLLC is a Dentist in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2013.

Licensed in
ID
In the registry since
2013
Specialties on file
4
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

1655 Pancheri Dr
Idaho Falls, ID 83402-3169
Phone: (208) 522-1911
Fax: (208) 523-4441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D3971 (ID)
Dentist Taxonomy 122300000X · Licence D3464 (ID)
Dentist Taxonomy 122300000X · Licence D4302 (ID)
Dentist Taxonomy 122300000X · Licence D1719 (ID)

Record details

NPI number1205175668
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationFoothills Dental Care, PLLC
Authorized official Melissa Raichart — Insurance Coordinator · (208) 529-4484
Other names Riverwest Dental
NPI enumeratedFebruary 5, 2013
Last updated in NPPESFebruary 6, 2013
Mailing address2205 Channing Way, Suite A, Idaho Falls, ID 83404-8016

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