Ponderay Newco PLLC
Ponderay Newco PLLC provides Dental Clinic/Center services in Ponderay, Idaho. Registered with an NPI since 2026.
- In the registry since
- 2026
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
476653 Highway 95 Ste 1Ponderay, ID 83852-9816
Phone: (208) 265-6771
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1942111307 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kory Wilson — Ceo · (208) 661-7879 |
| NPI enumerated | September 15, 2026 |
| Last updated in NPPES | September 15, 2026 |
| Certification date | September 15, 2026 |
| Mailing address | 476653 Highway 95 Ste 1, Ponderay, ID 83852-9816 |