Eagle Dental Partnership Pllc
Eagle Dental Partnership Pllc is a healthcare organization registered as General Practice Dentistry in Eagle, ID, holding Type 2 (organization) NPI 1639732399 since 2019. The authorized official on file is Leah Gardoski, Insurance Administrator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1639732399 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Eagle Dental Partnership Pllc |
| Other name | <Unavail> |
| Practice address | 577 E STATE ST, Eagle, ID, 83616 |
| Phone | 2089393500 |
| Fax | 2089393837 |
| Enumeration date | 2019-04-18 |
| Last updated in NPPES | 2025-08-11 |
Authorized official
| Name | Leah Gardoski |
|---|---|
| Title | Insurance Administrator |
| Phone | 2089393500 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | — | — |
Copy-ready billing details
Provider: Eagle Dental Partnership Pllc NPI: 1639732399 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 577 E STATE ST, Eagle, ID, 83616
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1912072364 | Gilbert Simpson | Individual | General Practice Dentistry | Eagle, ID |
| 1093519209 | Natalie Little | Individual | General Practice Dentistry | Eagle, ID |
Verify this record
Cross-check NPI 1639732399 against the authoritative CMS record: view Eagle Dental Partnership Pllc on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Eagle Dental Partnership Pllc?
What is the NPI number for Eagle Dental Partnership Pllc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-08-11.