# MOUNTAIN VIEW DENTISTRY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295994408
- **Authorized official:** MRS. ASHLEE BEHLER (SECRETARY)
- **Authorized official phone:** (208) 983-0105

## Contact information

- **Practice address:** 615 W NORTH ST, GRANGEVILLE, ID 83530-1239
- **Practice address phone:** (208) 983-0105
- **Practice address fax:** (208) 983-2339
- **Mailing address:** 615 W NORTH ST, GRANGEVILLE, ID 83530-1239
- **Mailing address phone:** (208) 983-0105
- **Mailing address fax:** (208) 983-2339

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D3978 | ID | — |
| 1223G0001X | General Practice Dentistry | D3987 | ID | Yes |

## Other

- **Enumeration date:** 06/03/2008
- **Last updated:** 06/03/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 807500900 | — | ID |
| 05 | — | 807665400 | — | ID |