Clubhouse Pediatric Dentistry Of Madison is a Pediatric Dental Clinic in Rexburg, Idaho. It is located at 859 S Yellowstone Hwy, Rexburg, ID and its contact number is 208-552-5439. The authorized person for Clubhouse Pediatric Dentistry Of Madison is Mrs. Jennifer Louise Robison
who is Financial Coordinator of the clinic and their contact number is 208-520-1514.
Clubhouse Pediatric Dentistry Of Madison Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Clubhouse Pediatric Dentistry Of Madison Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Clubhouse Pediatric Dentistry Of Madison |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 859 S Yellowstone Hwy, Rexburg,
Idaho, 83440-5293 |
| Phone: | 208-552-5439 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mrs. Jennifer Louise Robison |
| Position: | Financial Coordinator |
| Contact Number: | 208-520-1514 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Clubhouse Pediatric Dentistry Of Madison clinic are as mentioned below.
| NPI Number: | 1306321351 |
| NPI Enumeration Date: | 26 Sep, 2018 |
| NPI Last Update On: | 26 Sep, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Clubhouse Pediatric Dentistry Of Madison are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 28954 | Medicaid | Idaho | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Clubhouse Pediatric Dentistry Of Madison
859 S Yellowstone Hwy,
Rexburg, Idaho |
| Zip: | 83440-5293 |
| Phone Number: | 208-552-5439 |
Patients can reach Clubhouse Pediatric Dentistry Of Madison at
859 S Yellowstone Hwy, Rexburg, Idaho or can
call to book an appointment on 208-552-5439.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.