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

Madison Park Dental Center

Organization General Practice Dentistry · NPI 1831545102

Madison Park Dental Center is a General Practice Dentistry in Rexburg, Idaho. Licensed in Idaho. Registered with an NPI since 2016.

Licensed in
ID
In the registry since
2016
Specialties on file
2

Practice location Address checks out

35 Madison Professional Park
Rexburg, ID 83440-2057
Phone: (208) 356-5601
Fax: (208) 356-8788
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D4747 (ID)
General Practice Dentistry Taxonomy 1223G0001X · Licence D2018 (ID)

Record details

NPI number1831545102
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Tall — Owner · (208) 356-5601
NPI enumeratedMay 5, 2016
Last updated in NPPESMay 5, 2016
Mailing address35 Madison Professional Park, Rexburg, ID 83440-2057

Other providers in Rexburg