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Clubhouse Pediatric Dentistry of Idaho Falls

Pediatric Dentistry in Idaho Falls, ID · enumerated 2018 · authorized official Jennifer Robison, Credentialing Coordinator.

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

National Provider Identifier

1376028324

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Registry record

Entity type Organization (Type 2)
Legal business name Clubhouse Pediatric Dentistry of Idaho Falls
Practice address 3411 Merlin Dr, Idaho Falls, ID, 83404
Phone (208) 520-1514
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 Credentialing Coordinator
Phone (208) 520-1514

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

What is the NPI number for Clubhouse Pediatric Dentistry of Idaho Falls?
The NPI for Clubhouse Pediatric Dentistry of Idaho Falls is 1376028324, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Clubhouse Pediatric Dentistry of Idaho Falls?
NPPES lists Jennifer Robison (Credentialing Coordinator) as the authorized official for this organization.

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