Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457918500 Individual Practitioner Male Practitioner

Dr. Grant Guy Cordner , DMD

Dentist - General Practice • Rexburg, ID

Professional Overview & Biography Verified Profile Summary

Dr. Grant Cordner, DMD is a registered healthcare professional specializing in Dentist - General Practice in Rexburg, ID. Practice services are available at 72 S 1ST E STE 102 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

72 S 1st E Ste 102

Rexburg, ID 834401902

Telephone 2083564900
Fax 2083591600
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Rexburg, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.3 Yrs
Regional Practice Density
15 Specialists

Practicing in Rexburg, ID (781 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-04-21
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License ID D-5436

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Secondary Practice Locations

325 E Main St

Saint Anthony, ID 834451546

Phone: 2083564900

2454 N 25th E Ste 201

Idaho Falls, ID 834011051

Phone: 2086126100

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dave Robinson , PA-C

Physician Assistant

NPI 1003257478

Physician Assistant (Certified)

Megan Thompson , LCSW

Social Worker - Clinical

NPI 1033887146

Licensed Clinical Social Worker

Rhet Dalling , LCSW

Social Worker - Clinical

NPI 1104184738

Licensed Clinical Social Worker

Linda Lopez , LCSW

Social Worker - Clinical

NPI 1134543796

Licensed Clinical Social Worker

NPI 1144675679

Doctor of Osteopathic Medicine (D.O.)

Garett Rumsey

Nurse Practitioner - Psychiatric/Mental Health

NPI 1154280675

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location April 21, 2026

Registered at 72 S 1ST E STE 102, REXBURG, ID 834401902 (Tel: 2083564900)

📍
Updated Business Mailing Address April 21, 2026

Registered at PO BOX 18, SAINT ANTHONY, ID 834450018 (Tel: 2083564900)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2026

Dentist (License #D-5436 in ID)

NPI Profile Active May 23, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location May 23, 2019

Registered at 425 W 1420 S, PAYSON, UT 846518669 (Tel: 4803907904)

📍
Updated Business Mailing Address May 23, 2019

Registered at 425 W 1420 S, PAYSON, UT 846518669 (Tel: 4803907904)

👤
Provider Name / Credentials Updated May 23, 2019

Recorded as GRANT CORDNER, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2019

Dentist (License #11286066-9922 in UT)

🟢
Initial NPI Registration & Enumeration May 23, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457918500
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2019
Last Update: April 21, 2026
Sole Proprietor: No

Mailing Address

Po Box 18

Saint Anthony, ID 834450018

Phone: 2083564900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.