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Dr. Robert L Fackrell, DDS
General Practice Dentistry in Pocatello, Idaho
NPI 1215072798

Robert L Fackrell is a General Practice Dentistry based in Pocatello, ID and is specialized in General Practice. Robert L Fackrell practices in Pocatello, ID and has the professional credentials of DDS. The NPI Number for Robert L Fackrell is 1215072798 and holds a License No. D3134 (Idaho).

The current practice location address for Robert L Fackrell is 415 N 3Rd Ave Ste A, Pocatello, ID and can be reached out via phone at 208-233-2355 and via fax at 208-233-0582.

Location: 415 N 3Rd Ave Ste A, Pocatello, ID, 83201-6306
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215072798
Provider Name
Robert L Fackrell
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
415 N 3Rd Ave Ste A, Pocatello, ID, 83201-6306
Phone Number
208-233-2355
Fax Number
208-233-0582
Provider Enumeration Date
02/21/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
537818 01 ID UNITED CONCORDIA
000010010434 01 ID BLUE CROSS
002783500 05 ID
institution
Provider Business Practice Location Address Details
Address
415 N 3Rd Ave Ste A
City
Pocatello
State
Idaho
Zip
83201-6306
Phone Number
208-233-2355
Fax Number
208-233-0582
person
Provider Business Mailing Address Details
Address
415 N 3Rd Ave Ste A
City
Pocatello
State
Idaho
Zip
83201-6306
Phone Number
208-233-2355
Fax Number
208-233-0582
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D3134 (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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