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

Pocatello Dental Excellence

Organization Dental Clinic/Center · NPI 1366134397

Pocatello Dental Excellence is a Dental Clinic/Center in Pocatello, Idaho. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1525 Baldy Ave
Pocatello, ID 83201-7117
Phone: (208) 238-0011
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1366134397
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyle Frost — Dentist · (208) 521-3449
Other names Dental Excellence
NPI enumeratedMay 26, 2023
Last updated in NPPESMay 26, 2023
Certification dateMay 26, 2023
Mailing address1525 Baldy Ave, Pocatello, ID 83201-7117

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