David M Heninger in Idaho Falls - General Practice

David M Heninger - NPI 1760406193

David M Heninger is a General Practice in Idaho Falls, Idaho. David M Heninger practices all healthcare services and medical treatments related to General Practice. The NPI Number for David M Heninger is 1760406193. The last update date is 2009-05-04.

David M Heninger's current location address is 3375 Merlin Dr, Idaho Falls, Idaho. You can contact this provider via phone number 2085241700 and fax number 2085241702. The mailing address for David M Heninger is 3375 Merlin Dr, Idaho Falls, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name David M Heninger
Address 3375 Merlin Dr, Idaho Falls, Idaho
Phone Number 2085241700
Fax Number 2085241702
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1760406193
Provider Enumeration Date 2006-07-27
Last Updated Date 2009-05-04

Provider Mailing Address Detail

Address 3375 Merlin Dr
City Idaho Falls
State Idaho (ID)
Post Code 834047405
Phone Number 2085241700
Fax Number 2085241702

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No D-1921
Definition:
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
D-1921 ID IDAHO DENTAL LICENSE
22-3889763 ID --

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FAQs about David M Heninger

What is the unique provider identifier assigned to David M Heninger?

The David M Heninger has been issued the NPI (National Provider Identifier) 1760406193 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the David M Heninger located?

The David M Heninger is located at 3375 Merlin Dr, Idaho Falls, ID 834047405.

What is the David M Heninger's area of specialization and corresponding taxonomy classification?

The David M Heninger's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.

On what date was the 1760406193 assigned to David M Heninger?

The David M Heninger was issued its 1760406193 on 2006-07-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the David M Heninger's details last updated?

The information pertaining to the David M Heninger, including its address, specialty, and other details, was most recently updated on 2009-05-04.

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