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

Kevin Richard Mudrow, DDS

Individual provider Dentist · NPI 1114126992

Kevin Richard Mudrow, DDS is a Dentist in Idaho Falls, Idaho. Licensed in Idaho and Oregon. Registered with an NPI since 2007.

Licensed in
ID, OR
In the registry since
2007
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

333 S Woodruff Ave Ste F
Idaho Falls, ID 83401-4322 Not confirmed with CMS for 13 years — call before visiting
Phone: (208) 524-2030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D4481 (ID)
Dentist Taxonomy 122300000X · Licence D8946 (OR)

Record details

NPI number1114126992
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 12, 2007
Last updated in NPPESSeptember 11, 2013

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