Madison Park Dental Center Pllc is a Dental Clinic in Rexburg, Idaho. It is located at 35 Madison Professional Park, Rexburg, ID and its contact number is 208-356-5601. The authorized person for Madison Park Dental Center Pllc is Dr. Robert L Walker
who is President of the clinic and their contact number is 208-356-5601. Other organizations associated with this clinic are Madison Park Dental Center Pllc, Madison Park Dental Center, The primary license number for Madison Park Dental Center Pllc is D1657 D3634 (Dentist) in Idaho.
Madison Park Dental Center 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:
Madison Park Dental Center Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Madison Park Dental Center Pllc |
| Specialization: | Dentistry |
| Clinic Address: | 35 Madison Professional Park, Rexburg,
Idaho, 83440 |
| Phone: | 208-356-5601 |
| Fax: | 208-356-8788 |
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: | Dr. Robert L Walker |
| Position: | President |
| Contact Number: | 208-356-5601 |
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 Madison Park Dental Center Pllc clinic are as mentioned below.
| NPI Number: | 1093849226 |
| NPI Enumeration Date: | 16 Mar, 2007 |
| NPI Last Update On: | 22 Aug, 2020 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Madison Park Dental Center Pllc | Dentistry | 1093849226 |
| Madison Park Dental Center | General Practice Dentistry | 1831545102 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Madison Park Dental Center Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | D1657 D3634 | Idaho | 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 |
| 6I120 | Other | Idaho | Blue Cross |
| 80659700 | Medicaid | Idaho | |
| 6I138 | Other | Idaho | Blue Cross |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Madison Park Dental Center Pllc
35 Madison Professional Park,
Rexburg, Idaho |
| Zip: | 83440 |
| Phone Number: | 208-356-5601 |
| Fax Number: | -- |
Patients can reach Madison Park Dental Center Pllc at
35 Madison Professional Park, Rexburg, Idaho or can
call to book an appointment on 208-356-5601.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.