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

Madison Park Dental Center

Organization General Practice Dentistry · NPI 1831545102

Madison Park Dental Center provides General Practice Dentistry in Rexburg, Idaho. Licensed in Idaho. Registered with an NPI since 2016.

Licensed in
ID
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

35 Madison Professional Park
Rexburg, ID 83440-2057 Not confirmed with CMS for 10 years — call before visiting
Phone: (208) 356-5601
Fax: (208) 356-8788
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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 D4747 (ID)
General Practice Dentistry Taxonomy 1223G0001X · Licence D2018 (ID)

Record details

NPI number1831545102
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Tall — Owner · (208) 356-5601
NPI enumeratedMay 5, 2016
Last updated in NPPESMay 5, 2016
Mailing address35 Madison Professional Park, Rexburg, ID 83440-2057

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