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Dr. Michael Wynn Godfrey, DMD
General Practice Dentistry in Pocatello, Idaho
NPI 1275605933

Michael Wynn Godfrey is a General Practice Dentistry based in Pocatello, ID and is specialized in General Practice. Michael Wynn Godfrey practices in Pocatello, ID and has the professional credentials of DMD. The NPI Number for Michael Wynn Godfrey is 1275605933 and holds a License No. D-3901 (Idaho).

The current practice location address for Michael Wynn Godfrey is 1980 Birdie Thompson Dr, Pocatello, ID and can be reached out via phone at 208-233-8750 and via fax at 208-233-8751.

Location: 1980 Birdie Thompson Dr, Pocatello, ID, 83201-2755
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275605933
Provider Name
Michael Wynn Godfrey
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1980 Birdie Thompson Dr, Pocatello, ID, 83201-2755
Phone Number
208-233-8750
Fax Number
208-233-8751
Provider Enumeration Date
11/15/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1980 Birdie Thompson Dr
City
Pocatello
State
Idaho
Zip
83201-2755
Phone Number
208-233-8750
Fax Number
208-233-8751
person
Provider Business Mailing Address Details
Address
1980 Birdie Thompson Dr
City
Pocatello
State
Idaho
Zip
83201-2755
Phone Number
208-233-8750
Fax Number
208-233-8751
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D-3901 (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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