Magic Valley Family Dental
NPI 1477723955ActiveOrganization· Dentist, General Practice· Rupert, ID
Dentist, General Practice in Rupert, Idaho, registered in NPPES in March 2008. The authorized official on file is Denise J. Mallory, Office Manager.
Overview
| NPI | 1477723955 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 11, 2008 |
| Last updated in NPPES | Mar 11, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | D3903 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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