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

Grin PLLC

Organization General Practice Dentistry · NPI 1144720103

Grin PLLC is a General Practice Dentistry in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2018.

Licensed in
ID
In the registry since
2018
Specialties on file
3
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

2685 Channing Way
Idaho Falls, ID 83404-7518
Phone: (208) 522-1164
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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 D3723 (ID)
General Practice Dentistry Taxonomy 1223G0001X · Licence D3203 (ID)
General Practice Dentistry Taxonomy 1223G0001X · Licence D1989 (ID)

Record details

NPI number1144720103
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Drake — Doctor/Partner · (208) 524-0870
NPI enumeratedFebruary 16, 2018
Last updated in NPPESFebruary 16, 2018
Mailing address885 Pancheri Dr, Idaho Falls, ID 83402-3344

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