Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eagle Rock Dental Care

Organization Dentist · NPI 1356465660

Eagle Rock Dental Care provides Dentist services in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007
Specialties on file
5
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Practice location Address checks out

640 S Woodruff Ave
Idaho Falls, ID 83401-5299 Not confirmed with CMS for 12 years — call before visiting
Phone: (208) 523-5400
Fax: (208) 528-0565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D-1297 (ID)
Dentist Taxonomy 122300000X · Licence D-3271 (ID)
General Practice Dentistry Taxonomy 1223G0001X · Licence D-3063 (ID)
General Practice Dentistry Taxonomy 1223G0001X · Licence D-1890 (ID)
General Practice Dentistry Taxonomy 1223G0001X · Licence D4138 (ID)

Record details

NPI number1356465660
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Trudee Chapple — Administrator · (208) 523-5400
NPI enumeratedMarch 19, 2007
Last updated in NPPESFebruary 3, 2014
Mailing address640 S Woodruff Ave, Idaho Falls, ID 83401-5299

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