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

Eagle Rock Dental Care PLLC

Organization General Practice Dentistry · NPI 1326395385

Eagle Rock Dental Care PLLC provides General Practice Dentistry in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2012.

Licensed in
ID
In the registry since
2012
Specialties on file
6
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2205 Channing Way Ste B
Idaho Falls, ID 83404-8016 Not confirmed with CMS for 14 years — call before visiting
Phone: (208) 529-3660
Fax: (208) 529-3666
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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 D3063 (ID)
General Practice Dentistry Taxonomy 1223G0001X · Licence D4138 (ID)
General Practice Dentistry Taxonomy 1223G0001X · Licence D1890 (ID)
General Practice Dentistry Taxonomy 1223G0001X · Licence D4036 (ID)
General Practice Dentistry Taxonomy 1223G0001X · Licence D4369 (ID)
General Practice Dentistry Taxonomy 1223G0001X · Licence D1608 (ID)

Record details

NPI number1326395385
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationEagle Rock Dental Care PLLC
Authorized official Trudee Chapple — Office Administrator · (208) 523-5400
NPI enumeratedAugust 9, 2012
Last updated in NPPESAugust 24, 2012
Mailing address2205 Channing Way Ste B, Idaho Falls, ID 83404-8016

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