Eagle Rock Dental Care in Idaho Falls - General Practice
Eagle Rock Dental Care - NPI 1356465660
Eagle Rock Dental Care is a General Practice in Idaho Falls, Idaho. Eagle Rock Dental Care practices all healthcare services and medical treatments related to General Practice. The NPI Number for Eagle Rock Dental Care is 1356465660. The last update date is 2014-02-03.
Eagle Rock Dental Care's current location address is 640 S Woodruff Ave, Idaho Falls, Idaho. You can contact this provider via phone number 2085235400 and fax number 2085280565. The mailing address for Eagle Rock Dental Care is 640 S Woodruff Ave, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eagle Rock Dental Care |
|---|---|
| Address | 640 S Woodruff Ave, Idaho Falls, Idaho |
| Phone Number | 2085235400 |
| Fax Number | 2085280565 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Chapple L Trudee |
| Telephone Number | 2085235400 |
NPI Number Detail
| NPI Number | 1356465660 |
|---|---|
| Provider Enumeration Date | 2007-03-19 |
| Last Updated Date | 2014-02-03 |
Provider Mailing Address Detail
| Address | 640 S Woodruff Ave |
|---|---|
| City | Idaho Falls |
| State | Idaho (ID) |
| Post Code | 834015299 |
| Phone Number | 2085235400 |
| Fax Number | 2085280565 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D-3063 |
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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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| D4138 | ID | ISDA |
Post Comment/ Review Below
What is the Eagle Rock Dental Care's unique identification number?
The Eagle Rock Dental Care has been assigned the NPI (National Provider Identifier) Number 1356465660 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Eagle Rock Dental Care's facilities are situated?
The facilities of Eagle Rock Dental Care are physically located at the following address: 640 S Woodruff Ave, Idaho Falls, ID, 834015299.
What is Eagle Rock Dental Care's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Eagle Rock Dental Care is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date was the 1356465660 assigned to Eagle Rock Dental Care?
The Eagle Rock Dental Care was issued its 1356465660 on 2007-03-19, 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 Eagle Rock Dental Care's details last updated?
The information pertaining to the Eagle Rock Dental Care, including its address, specialty, and other details, was most recently updated on 2014-02-03.
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