Allied Dental Clinic, Pc in Pocatello - General Practice
Allied Dental Clinic, Pc - NPI 1790999407
Allied Dental Clinic, Pc is a General Practice in Pocatello, Idaho. Allied Dental Clinic, Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Allied Dental Clinic, Pc is 1790999407. The last update date is 2020-08-22.
Allied Dental Clinic, Pc's current location address is 1246 Yellowstone Ave Ste B3, Pocatello, Idaho. You can contact this provider via phone number 2082370563. The mailing address for Allied Dental Clinic, Pc is 1246 Yellowstone Ave Ste B3, Pocatello, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Allied Dental Clinic, Pc |
|---|---|
| Address | 1246 Yellowstone Ave Ste B3, Pocatello, Idaho |
| Phone Number | 2082370563 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Snow C Randall |
| Credentials | DMD |
| Telephone Number | 2082370563 |
NPI Number Detail
| NPI Number | 1790999407 |
|---|---|
| Provider Enumeration Date | 2007-05-10 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1246 Yellowstone Ave Ste B3 |
|---|---|
| City | Pocatello |
| State | Idaho (ID) |
| Post Code | 832014372 |
| Phone Number | 2082370563 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D3171 |
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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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What is the unique 10-digit identification code assigned to Allied Dental Clinic, Pc by the Centers for Medicare & Medicaid Services?
The Allied Dental Clinic, Pc has been issued the NPI (National Provider Identifier) 1790999407, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Allied Dental Clinic, Pc is physically located?
The Allied Dental Clinic, Pc is physically situated at the following address: 1246 Yellowstone Ave Ste B3, Pocatello, ID, 832014372.
What is the Allied Dental Clinic, Pc's area of specialization and corresponding taxonomy classification?
The Allied Dental Clinic, Pc'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 did the Allied Dental Clinic, Pc receive the assignment of its 1790999407 from the Centers for Medicare & Medicaid Services?
The Allied Dental Clinic, Pc was issued its 1790999407 by the Centers for Medicare & Medicaid Services on 2007-05-10.
When was the information related to Allied Dental Clinic, Pc most recently updated or refreshed?
The details pertaining to the Allied Dental Clinic, Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.