Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Jerome Toothtown Pllc

Pediatric Dentistry in Jerome, ID · enumerated 2022 · authorized official Jesse Ivie, Manager.

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

National Provider Identifier

1568100857

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Registry record

Entity type Organization (Type 2)

Legal business name Jerome Toothtown Pllc

Practice address 1555 S Lincoln Ave, Jerome, ID, 83338

Phone (208) 539-9876

Enumeration date May 25, 2022

Last updated in NPPES May 25, 2022

Taxonomy & classification

1223P0221X Pediatric Dentistry Dental Providers Primary

Authorized official

Name Jesse Ivie

Title Manager

Phone (208) 539-9876

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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-05-25. Verify at npiregistry.cms.hhs.gov.

Where is Jerome Toothtown Pllc located?

The practice location on file with NPPES is in Jerome, ID.

Providers at this address

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Newell Elison General Practice Dentistry · Jerome, ID NPI 1144516733

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-05-25.