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Michael T Mchugh, DDS
General Practice Dentistry in Pocatello, Idaho
NPI 1326356122

Michael T Mchugh is a General Practice Dentistry based in Pocatello, ID and is specialized in General Practice. Michael T Mchugh practices in Pocatello, ID and has the professional credentials of DDS. The NPI Number for Michael T Mchugh is 1326356122 and holds a License No. D1755 (Idaho).

The current practice location address for Michael T Mchugh is 1246 Yellowstone Ave, Pocatello, ID and can be reached out via phone at 208-238-0125 and via fax at 208-478-2200.

Location: 1246 Yellowstone Ave, Pocatello, ID, 83201-4374
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326356122
Provider Name
Michael T Mchugh
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1246 Yellowstone Ave, Pocatello, ID, 83201-4374
Phone Number
208-238-0125
Fax Number
208-478-2200
Provider Enumeration Date
09/15/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6P591 01 ID BLUE CROSS OF IDAHO
9201894 01 ID IDAHO SMILES/DENTAQUEST
000010009646 01 ID BLUE SHIELD OF IDAHO
612058100 01 US DEPARTMENT OF LABOR
institution
Provider Business Practice Location Address Details
Address
1246 Yellowstone Ave
City
Pocatello
State
Idaho
Zip
83201-4374
Phone Number
208-238-0125
Fax Number
208-478-2200
person
Provider Business Mailing Address Details
Address
1246 Yellowstone Ave
City
Pocatello
State
Idaho
Zip
83201-4374
Phone Number
208-238-0125
Fax Number
208-478-2200
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D1755 (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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