Avalon Dental PC
Avalon Dental PC is a healthcare organization registered as Dental Clinic/Center in Kuna, ID, holding Type 2 (organization) NPI 1962850933 since 2016. The authorized official on file is James Grant, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1962850933 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Avalon Dental PC |
| Practice address | 672 E WYTHE CREEK CT, STE 101, Kuna, ID, 83634 |
| Phone | 2086292800 |
| Fax | 2086292801 |
| Enumeration date | 2016-05-31 |
| Last updated in NPPES | 2016-05-31 |
Authorized official
| Name | James Grant |
|---|---|
| Title | Owner |
| Phone | 2086292800 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QD0000X | Dental Clinic/Center | Primary | D3875 | ID |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447345491 | Other | ID | INDIVIDUAL PROVIDER |
Copy-ready billing details
Provider: Avalon Dental PC NPI: 1962850933 Taxonomy: 261QD0000X (Dental Clinic/Center) Address: 672 E WYTHE CREEK CT, STE 101, Kuna, ID, 83634
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1871210500 | Mikaela Virgin | Individual | Physical Therapist | Kuna, ID |
| 1386474500 | Alexis Pettersen | Individual | Physical Therapist | Kuna, ID |
Verify this record
Cross-check NPI 1962850933 against the authoritative CMS record: view Avalon Dental PC 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 Avalon Dental PC?
What is the NPI number for Avalon Dental PC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-05-31.