Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Madison Park Dental Center PLLC

Organization Dentist · NPI 1093849226

Madison Park Dental Center PLLC provides Dentist services in Rexburg, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007
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

35 Madison Professional Park
Rexburg, ID 83440
Phone: (208) 356-5601
Fax: (208) 356-8788
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D1657 D3634 (ID)

Record details

NPI number1093849226
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Walker — President · (208) 356-5601
NPI enumeratedMarch 16, 2007
Last updated in NPPESAugust 22, 2020
Mailing address35 Madison Professional Park, Rexburg, ID 83440

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