Foothills Dental Care, Pllc is a Dental Clinic in Idaho Falls, Idaho. This organization is also known as sub part of Foothills Dental Care, Pllc. It is located at 1655 Pancheri Dr, Idaho Falls, ID and its contact number is 208-522-1911. The authorized person for Foothills Dental Care, Pllc is Mrs. Melissa K Raichart
who is Insurance Coordinator of the clinic and their contact number is 208-529-4484. The primary license number for Foothills Dental Care, Pllc is D3971 (Dentist) in Idaho.
Foothills Dental Care, Pllc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Foothills Dental Care, Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Foothills Dental Care, Pllc |
| Specialization: | Dentistry |
| Clinic Address: | 1655 Pancheri Dr, Idaho Falls,
Idaho, 83402-3169 |
| Phone: | 208-522-1911 |
| Fax: | 208-523-4441 |
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. Melissa K Raichart |
| Position: | Insurance Coordinator |
| Contact Number: | 208-529-4484 |
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 Foothills Dental Care, Pllc clinic are as mentioned below.
| NPI Number: | 1205175668 |
| Parent Organization: | Foothills Dental Care, Pllc |
| NPI Enumeration Date: | 05 Feb, 2013 |
| NPI Last Update On: | 06 Feb, 2013 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Foothills Dental Care, Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | D3971 | Idaho | Primary | |
| Dentist | D3464 | Idaho | Secondary | |
| Dentist | D4302 | Idaho | Secondary | |
| Dentist | D1719 | Idaho | Secondary | |
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 |
| 1124035498 | Medicaid | Idaho | |
| 1740501410 | Medicaid | Idaho | |
| 1134356140 | Medicaid | Idaho | |
| 1952317703 | Medicaid | Idaho | |
| 1275619090 | Medicaid | Idaho | |
| 1609952415 | 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: | Foothills Dental Care, Pllc
2205 Channing Way, Suite A
Idaho Falls, Idaho |
| Zip: | 83404-8016 |
| Phone Number: | 208-529-4484 |
| Fax Number: | 208-523-4441 |
Patients can reach Foothills Dental Care, Pllc at
1655 Pancheri Dr, Idaho Falls, Idaho or can
call to book an appointment on 208-522-1911.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.