Michael Wynn Godfrey in Pocatello - General Practice

Michael Wynn Godfrey - NPI 1275605933

Michael Wynn Godfrey is a General Practice in Pocatello, Idaho. Michael Wynn Godfrey practices all healthcare services and medical treatments related to General Practice. The NPI Number for Michael Wynn Godfrey is 1275605933. The last update date is 2007-07-08.

Michael Wynn Godfrey's current location address is 1980 Birdie Thompson Dr, Pocatello, Idaho. You can contact this provider via phone number 2082338750 and fax number 2082338751. The mailing address for Michael Wynn Godfrey is 1980 Birdie Thompson Dr, Pocatello, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Wynn Godfrey
Address 1980 Birdie Thompson Dr, Pocatello, Idaho
Phone Number 2082338750
Fax Number 2082338751
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1275605933
Provider Enumeration Date 2006-11-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1980 Birdie Thompson Dr
City Pocatello
State Idaho (ID)
Post Code 832012755
Phone Number 2082338750
Fax Number 2082338751

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No D-3901
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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FAQs about Michael Wynn Godfrey

What is the unique identification code assigned to Michael Wynn Godfrey by the Centers for Medicare & Medicaid Services?

The Michael Wynn Godfrey has been issued the NPI (National Provider Identifier) 1275605933. This 10-digit code 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 Michael Wynn Godfrey is physically located?

The Michael Wynn Godfrey is physically situated at the following address: 1980 Birdie Thompson Dr, Pocatello, ID, 832012755.

What is Michael Wynn Godfrey's specialized field of practice, and what is the corresponding taxonomy classification code?

The Michael Wynn Godfrey's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.

On what date was the 1275605933 assigned to Michael Wynn Godfrey?

The Michael Wynn Godfrey was issued its 1275605933 on 2006-11-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Michael Wynn Godfrey most recently updated?

The details pertaining to the Michael Wynn Godfrey, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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