Robert L Fackrell in Pocatello - General Practice
Robert L Fackrell - NPI 1215072798
Robert L Fackrell is a General Practice in Pocatello, Idaho. Robert L Fackrell practices all healthcare services and medical treatments related to General Practice. The NPI Number for Robert L Fackrell is 1215072798. The last update date is 2015-01-13.
Robert L Fackrell's current location address is 415 N 3rd Ave Ste A, Pocatello, Idaho. You can contact this provider via phone number 2082332355 and fax number 2082330582. The mailing address for Robert L Fackrell is 415 N 3rd Ave Ste A, Pocatello, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert L Fackrell |
|---|---|
| Address | 415 N 3rd Ave Ste A, Pocatello, Idaho |
| Phone Number | 2082332355 |
| Fax Number | 2082330582 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1215072798 |
|---|---|
| Provider Enumeration Date | 2007-02-21 |
| Last Updated Date | 2015-01-13 |
Provider Mailing Address Detail
| Address | 415 N 3rd Ave Ste A |
|---|---|
| City | Pocatello |
| State | Idaho (ID) |
| Post Code | 832016306 |
| Phone Number | 2082332355 |
| Fax Number | 2082330582 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D3134 |
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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 |
|---|---|---|---|
| 537818 | ID | UNITED CONCORDIA | |
| 10010434 | ID | BLUE CROSS | |
| 2783500 | ID | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Robert L Fackrell?
The Robert L Fackrell has been issued the NPI (National Provider Identifier) 1215072798 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Robert L Fackrell is located?
The Robert L Fackrell is situated at the following address: 415 N 3Rd Ave Ste A, Pocatello, ID, 832016306.
What is Robert L Fackrell's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Robert L Fackrell is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1215072798 to Robert L Fackrell?
The Centers for Medicare & Medicaid Services originally issued the 1215072798 to Robert L Fackrell on 2007-02-21.
When was the Robert L Fackrell's information last updated?
The Robert L Fackrell's information was last updated on 2015-01-13.
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