Idaho Innovative Dentistry, Pllc is a renowned Dental office in Eagle, Idaho. It is located at 467 S Rivershore Ln, Eagle, ID and its contact number is 208-938-1247. The authorized person for Idaho Innovative Dentistry, Pllc is Dr. Shane Steven Porter
who is Dentist/owner of the place and their contact number is 208-938-1247. The primary license number for Idaho Innovative Dentistry, Pllc is D-4002 (Dental) in Idaho.
Idaho Innovative Dentistry, Pllc Office is a healthcare facility where dedicated dental team composed of licensed professionals, including dentists (DDS or DMD), dental hygienists, dental assistants, and administrative staff (manage appointments, billing, and patient records) provides preventive, diagnostic, and therapeutic oral health services like oral exams and X-rays, fillings, fluoride treatments, teeth cleanings, implants, crowns, bridges, tooth extractions, root canals, and cosmetic procedures such as teeth whitening, braces and veneers to patients through outpatient care.
Complete Profile:
Idaho Innovative Dentistry, Pllc Office speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Idaho Innovative Dentistry, Pllc
Specialization:
Dentistry
Address:
467 S Rivershore Ln, Eagle, Idaho, 83616-4978
Phone:
208-938-1247
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this Office are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Shane Steven Porter
Position:
Dentist/owner
Contact Number:
208-938-1247
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 Idaho Innovative Dentistry, Pllc Office are as mentioned below.
NPI Number:
1649620139
NPI Enumeration Date:
15 Jun, 2016
NPI Last Update On:
15 Jun, 2016
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Idaho Innovative Dentistry, Pllc are as mentioned below.
Specialization
License Number
State
Status
Dental
D-4002
Idaho
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Idaho Innovative Dentistry, Pllc 467 S. Rivershore Lane, Eagle, Idaho
Zip:
83616
Phone Number:
208-938-1247
Patients can reach Idaho Innovative Dentistry, Pllc at 467 S Rivershore Ln, Eagle, Idaho or can call to book an appointment on 208-938-1247. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.