Idaho State University in Pocatello - Dental Hygienist
Idaho State University - NPI 1972720936
Idaho State University is a Dental Hygienist in Pocatello, Idaho. Idaho State University practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Idaho State University is 1972720936. The last update date is 2020-08-22.
Idaho State University's current location address is 921 S. 8th Ave., Stop 8048, Pocatello, Idaho. You can contact this provider via phone number 2082823282 and fax number 2082825355. The mailing address for Idaho State University is 921 S. 8th Ave., Stop 8048, Pocatello, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Idaho State University |
|---|---|
| Address | 921 S. 8th Ave., Stop 8048, Pocatello, Idaho |
| Phone Number | 2082823282 |
| Fax Number | 2082825355 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROGRAM DI |
|---|---|
| Authorized Official Name | Crawford Robert Brian |
| Credentials | DDS |
| Telephone Number | 2082825275 |
NPI Number Detail
| NPI Number | 1972720936 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 921 S. 8th Ave., Stop 8048 |
|---|---|
| City | Pocatello |
| State | Idaho (ID) |
| Post Code | 832098048 |
| Phone Number | 2082823282 |
| Fax Number | 2082825355 |
Provider's Primary Taxonomy Detail
| Speciality | Dental Hygienist |
|---|---|
| Taxonomy | 124Q00000X |
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Definition: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8060975 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Idaho State University by the Centers for Medicare & Medicaid Services?
The Idaho State University has been assigned the NPI (National Provider Identifier) 1972720936 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Idaho State University?
The Idaho State University is physically situated at 921 S. 8Th Ave., Stop 8048, in the city of Pocatello, state of ID, with the postal code 832098048.
What is Idaho State University's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Idaho State University is Dental Hygienist, and the taxonomy code that categorizes this field of expertise is 124Q00000X.
When did Idaho State University receive its 1972720936 assignment?
The Idaho State University was assigned its 1972720936 on 2007-04-19, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Idaho State University most recently updated or revised?
The information pertaining to Idaho State University, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.