Foothills Dental Care in Idaho Falls - Dental
Foothills Dental Care - NPI 1275619090
Foothills Dental Care is a Dental in Idaho Falls, Idaho. Foothills Dental Care practices all healthcare services and medical treatments related to Dental. The NPI Number for Foothills Dental Care is 1275619090. The last update date is 2020-08-22.
Foothills Dental Care's current location address is 2205 Channing Way, Idaho Falls, Idaho. You can contact this provider via phone number 2085294484 and fax number 2085234441. The mailing address for Foothills Dental Care is 2205 Channing Way, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Foothills Dental Care |
|---|---|
| Address | 2205 Channing Way, Idaho Falls, Idaho |
| Phone Number | 2085294484 |
| Fax Number | 2085234441 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PART |
|---|---|
| Authorized Official Name | Murdock Bernell Wayne |
| Credentials | DDS |
| Telephone Number | 2085294484 |
NPI Number Detail
| NPI Number | 1275619090 |
|---|---|
| Provider Enumeration Date | 2006-10-27 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2205 Channing Way |
|---|---|
| City | Idaho Falls |
| State | Idaho (ID) |
| Post Code | 834048016 |
| Phone Number | 2085294484 |
| Fax Number | 2085234441 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | D1719 |
|
Definition: Provides general and specialized dental care and oral surgery. |
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What is the unique provider identifier assigned to Foothills Dental Care?
The Foothills Dental Care has been issued the NPI (National Provider Identifier) 1275619090 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Foothills Dental Care's physical address?
The Foothills Dental Care is physically located at 2205 Channing Way, in the city of Idaho Falls, ID, with the postal code 834048016.
What is Foothills Dental Care's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Foothills Dental Care is Dental, and the taxonomy code that classifies this field of practice is 261Qd0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1275619090 to Foothills Dental Care?
The Centers for Medicare & Medicaid Services originally issued the 1275619090 to Foothills Dental Care on 2006-10-27.
As of what date were the Foothills Dental Care's details last updated?
The information pertaining to the Foothills Dental Care, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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