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

Mountain River Dental PLLC

Organization Dentist · NPI 1093147696

Mountain River Dental PLLC is a Dentist in Victor, Idaho. Licensed in Idaho. Registered with an NPI since 2013.

Licensed in
ID
In the registry since
2013
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

7726 Lupine Ln
Victor, ID 83455-5116
Phone: (208) 787-8100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D-4169 (ID)

Record details

NPI number1093147696
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Curtis Carpenter — President · (208) 201-8649
NPI enumeratedAugust 6, 2013
Last updated in NPPESAugust 6, 2013
Mailing address7726 Lupine Ln, Victor, ID 83455-5116

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