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

Madison Park Dental Center PLLC

Organization Dentist · NPI 1093849226

Madison Park Dental Center PLLC is a Dentist in Rexburg, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

35 Madison Professional Park
Rexburg, ID 83440
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

Dentist (primary) Taxonomy 122300000X · Licence D1657 D3634 (ID)

Record details

NPI number1093849226
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Walker — President · (208) 356-5601
NPI enumeratedMarch 16, 2007
Last updated in NPPESAugust 22, 2020
Mailing address35 Madison Professional Park, Rexburg, ID 83440

Other providers in Rexburg