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Clubhouse Pediatric Dentistry of Madison

Pediatric Dentistry in Rexburg, ID · enumerated 2018 · authorized official Jennifer Robison, Financial Coordinator.

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

National Provider Identifier

1306321351

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Registry record

Entity type Organization (Type 2)
Legal business name Clubhouse Pediatric Dentistry of Madison
Practice address 859 S Yellowstone Hwy, Rexburg, ID, 83440
Phone (208) 552-5439
Enumeration date Sep 26, 2018
Last updated in NPPES Sep 26, 2018

Taxonomy & classification

1223P0221X Pediatric Dentistry Dental Providers Primary

Authorized official

Name Jennifer Robison
Title Financial Coordinator
Phone (208) 520-1514

Other identifiers

Identifier Type State Issuer
28954 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

Who is the authorized official for Clubhouse Pediatric Dentistry of Madison?
NPPES lists Jennifer Robison (Financial Coordinator) as the authorized official for this organization.
What is the NPI number for Clubhouse Pediatric Dentistry of Madison?
The NPI for Clubhouse Pediatric Dentistry of Madison is 1306321351, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-09-26.