# MOUNTAINS WEST DENTAL PLLC

> 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:** 1346259777
- **Authorized official:** DR. MONTE ROSCOE EPPICH DDS (MEMBER DENTIST OWNER)
- **Authorized official phone:** (208) 253-6077

## Contact information

- **Practice address:** 502 N DARTMOUTH, MOUNTAINS WEST DENTAL CLINIC PLLC, COUNCIL, ID 83612
- **Practice address phone:** (208) 253-6077
- **Practice address fax:** (208) 253-6076
- **Mailing address:** PO BOX 572, 502 N DARTMOUTH, COUNCIL, ID 83612
- **Mailing address phone:** (208) 253-6077
- **Mailing address fax:** (208) 253-6076

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | D3548 | ID | Yes |

## Other

- **Enumeration date:** 08/05/2006
- **Last updated:** 08/22/2020