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

Bracken Ross Bateman, DDS

Individual provider General Practice Dentistry · NPI 1477177566

Bracken Ross Bateman, DDS is a General Practice Dentistry in Rexburg, Idaho. Works from 2 locations. Licensed in Idaho.

Licensed in
ID
In the registry since
2020
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

242 E Main St
Rexburg, ID 83440-2022
Phone: (208) 680-7067
Show map & directions

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

Additional practice locations (1)

  • 3550 Washington Pkwy, Idaho Falls, ID 83404-4968 — (208) 680-7067

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D-5151 (ID)

Record details

NPI number1477177566
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 3, 2020
Last updated in NPPESJune 3, 2020
Certification dateJune 3, 2020
Mailing address4461 Deloy Dr, Idaho Falls, ID 83401-1226

Other providers in Rexburg