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Crestwood Dental

Dental Clinic/Center in Idaho Falls, ID · enumerated 2024 · authorized official Mark Tall, Owner/Dentist.

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

National Provider Identifier

1396551792

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Registry record

Entity type Organization (Type 2)
Legal business name Crestwood Dental
Practice address 2238 Saratoga Dr, Idaho Falls, ID, 83404
Phone (208) 701-2720
Fax (208) 357-4522
Enumeration date Dec 10, 2024
Last updated in NPPES Dec 10, 2024

Taxonomy & classification

261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Mark Tall
Title Owner/Dentist
Phone (208) 701-2720

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 Crestwood Dental?
The NPI for Crestwood Dental is 1396551792, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Crestwood Dental?
NPPES lists Mark Tall (Owner/Dentist) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-12-10.