Children'S Dentistry Of Pocatello in Pocatello - Pediatric Dentistry
Children'S Dentistry Of Pocatello - NPI 1588823264
Children'S Dentistry Of Pocatello is a Pediatric Dentistry in Pocatello, Idaho. Children'S Dentistry Of Pocatello practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Children'S Dentistry Of Pocatello is 1588823264. The last update date is 2014-08-20.
Children'S Dentistry Of Pocatello's current location address is 425 E Alameda Rd, Pocatello, Idaho. You can contact this provider via phone number 2082381165 and fax number 2082381241. The mailing address for Children'S Dentistry Of Pocatello is 425 E Alameda Rd, Pocatello, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Children'S Dentistry Of Pocatello |
|---|---|
| Address | 425 E Alameda Rd, Pocatello, Idaho |
| Phone Number | 2082381165 |
| Fax Number | 2082381241 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICER |
|---|---|
| Authorized Official Name | Hugues N Ross |
| Credentials | DDS |
| Telephone Number | 2082381165 |
NPI Number Detail
| NPI Number | 1588823264 |
|---|---|
| Provider Enumeration Date | 2008-06-06 |
| Last Updated Date | 2014-08-20 |
Provider Mailing Address Detail
| Address | 425 E Alameda Rd |
|---|---|
| City | Pocatello |
| State | Idaho (ID) |
| Post Code | 832013609 |
| Phone Number | 2082381165 |
| Fax Number | 2082381241 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | D3679 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 807788200 | ID | -- |
Post Comment/ Review Below
What is the Children'S Dentistry Of Pocatello's 1588823264?
The Children'S Dentistry Of Pocatello's NPI (National Provider Identifier) Number is 1588823264. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Children'S Dentistry Of Pocatello's physical address?
The Children'S Dentistry Of Pocatello is physically located at 425 E Alameda Rd, in the city of Pocatello, ID, with the postal code 832013609.
What is Children'S Dentistry Of Pocatello's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Children'S Dentistry Of Pocatello is Pediatric Dentistry, and the taxonomy code that classifies this field of practice is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1588823264 to Children'S Dentistry Of Pocatello?
The Centers for Medicare & Medicaid Services originally issued the 1588823264 to Children'S Dentistry Of Pocatello on 2008-06-06.
As of what date were the details related to Children'S Dentistry Of Pocatello most recently updated or revised?
The information pertaining to Children'S Dentistry Of Pocatello, including its address, specialty, and other relevant details, was last updated or revised on 2014-08-20.