institution
Valley Dental Pa
Pediatric Dentist in Pocatello, Idaho
NPI 1114067105

Valley Dental Pa is a Pediatric Dentist based in Pocatello, ID and is specialized in Pediatric Dentistry. Valley Dental Pa practices in Pocatello, ID. The NPI Number for Valley Dental Pa is 1114067105 and holds a License No. D1664 (Idaho).

The current practice location address for Valley Dental Pa is 716 Yellowstone Ave, Pocatello, ID and can be reached out via phone at 208-478-5437 and via fax at 208-232-5490. You can also correspond with Valley Dental Pa through the mailing address at 716 YELLOWSTONE AVE, POCATELLO, ID - 83201-4407 (mailing address contact number: 208-478-5437).

Location: 716 Yellowstone Ave, Pocatello, ID, 83201-4407
institution
Provider Profile Details
NPI Number
1114067105
Provider Name
Valley Dental Pa
Credential
Provider Entity Type
Organization
Address
716 Yellowstone Ave, Pocatello, ID, 83201-4407
Phone Number
208-478-5437
Fax Number
208-232-5490
Provider Enumeration Date
02/07/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
806808801 05 ID
806808800 05 ID
institution
Provider Business Practice Location Address Details
Address
716 Yellowstone Ave
City
State
Zip
83201-4407
Phone Number
208-478-5437
Fax Number
208-232-5490
person
Provider Business Mailing Address Details
Address
716 Yellowstone Ave
City
State
Zip
83201-4407
Phone Number
208-478-5437
Fax Number
208-232-5490
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
D1664 (Idaho)
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.
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