is a General Practice in Rigby, Idaho. practices all healthcare services and medical treatments related to General Practice. The NPI Number for is 1396857256. The last update date is .
's current location address is 527 Rigby Lake Dr., Rigby, Idaho. You can contact this provider via phone number 2087458704 and fax number 2087457052. The mailing address for is 527 Rigby Lake Dr., Rigby, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 527 Rigby Lake Dr., Rigby, Idaho |
| Phone Number | 2087458704 |
| Fax Number | 2087457052 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1396857256 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 527 Rigby Lake Dr. |
|---|---|
| City | Rigby |
| State | Idaho (ID) |
| Post Code | 83442 |
| Phone Number | 2087458704 |
| Fax Number | 2087457052 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D3820 |
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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 |
|---|---|---|---|
| 806947300 | ID | -- | |
| 6K356 | ID | BLUE CROSS OF IDAHO |
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