institution
Grin Pllc
General Practice Dentistry in Idaho Falls, Idaho
NPI 1144720103

Grin Pllc is a General Practice Dentistry based in Idaho Falls, ID and is specialized in General Practice. Grin Pllc practices in Idaho Falls, ID. The NPI Number for Grin Pllc is 1144720103 and holds a License No. D3723 (Idaho).

The current practice location address for Grin Pllc is 2685 Channing Way, Idaho Falls, ID and can be reached out via phone at 208-522-1164.

Location: 2685 Channing Way, Idaho Falls, ID, 83402-3344
institution
Provider Profile Details
NPI Number
1144720103
Provider Name
Grin Pllc
Credential
Provider Entity Type
Organization
Address
2685 Channing Way, Idaho Falls, ID, 83402-3344
Phone Number
208-522-1164
Fax Number
Provider Enumeration Date
02/16/2018
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000886878 01 UNITED CONCORDIA
001493204 01 UNITED CONCORDIA
6K158 01 ID BLUE CROSS OF IDAHO
6C016 01 ID BLUE CROSS OF IDAHO
institution
Provider Business Practice Location Address Details
Address
2685 Channing Way
City
State
Zip
83404-7518
Phone Number
208-522-1164
Fax Number
person
Provider Business Mailing Address Details
Address
2685 Channing Way
City
State
Zip
83404-7518
Phone Number
208-522-1164
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
D3723 (Idaho)
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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