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Foothills Dental Care, Pllc

Dentist in Idaho Falls, ID · enumerated 2013 · authorized official Melissa Raichart, Insurance Coordinator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205175668

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Registry record

Entity type Organization (Type 2)
Legal business name Foothills Dental Care, Pllc
Other name <Unavail>
Parent organization Foothills Dental Care, Pllc
Practice address 1655 Pancheri Dr, Idaho Falls, ID, 83402
Fax (208) 523-4441
Enumeration date Feb 5, 2013
Last updated in NPPES Feb 6, 2013

Taxonomy & classification

122300000X Dentist Dental Providers · License D3971 (ID) Primary
122300000X Dentist Dental Providers · License D3464 (ID) Secondary
122300000X Dentist Dental Providers · License D4302 (ID) Secondary
122300000X Dentist Dental Providers · License D1719 (ID) Secondary

Authorized official

Name Melissa Raichart
Title Insurance Coordinator

Other identifiers

Identifier Type State Issuer
1124035498 Medicaid ID -
1740501410 Medicaid ID -
1134356140 Medicaid ID -
1952317703 Medicaid ID -
1275619090 Medicaid ID -
1609952415 Medicaid ID -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Foothills Dental Care, Pllc located?
The practice location on file with NPPES is in Idaho Falls, ID.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-02-06. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-02-06.