institution
Children's Dentistry Of Pocatello
Pediatric Dentist in Pocatello, Idaho
NPI 1255730370

Children's Dentistry Of Pocatello is a Pediatric Dentist based in Pocatello, ID and is specialized in Pediatric Dentistry. Children's Dentistry Of Pocatello practices in Pocatello, ID. The NPI Number for Children's Dentistry Of Pocatello is 1255730370 and holds a License No. D3679PD (Idaho).

The current practice location address for Children's Dentistry Of Pocatello is 425 E Alameda Rd, Pocatello, ID and can be reached out via phone at 208-238-1165 and via fax at 208-238-1241.

Location: 425 E Alameda Rd, Pocatello, ID, 83201-3609
institution
Provider Profile Details
NPI Number
1255730370
Provider Name
Children's Dentistry Of Pocatello
Credential
Provider Entity Type
Organization
Address
425 E Alameda Rd, Pocatello, ID, 83201-3609
Phone Number
208-238-1165
Fax Number
208-238-1241
Provider Enumeration Date
08/14/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
425 E Alameda Rd
City
State
Zip
83201-3609
Phone Number
208-238-1165
Fax Number
208-238-1241
person
Provider Business Mailing Address Details
Address
425 E Alameda Rd
City
State
Zip
83201-3609
Phone Number
208-238-1165
Fax Number
208-238-1241
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
D3679PD (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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