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G. Van Stosich, DDS
General Practice Dentistry in Idaho Falls, Idaho
NPI 1336224633

G. Van Stosich is a General Practice Dentistry based in Idaho Falls, ID and is specialized in General Practice. G. Van Stosich practices in Idaho Falls, ID and has the professional credentials of DDS. The NPI Number for G. Van Stosich is 1336224633 and holds a License No. D-1730 (Idaho).

The current practice location address for G. Van Stosich is 1400 E 17Th St, Idaho Falls, ID and can be reached out via phone at 208-522-8061 and via fax at 208-522-8061.

Location: 1400 E 17Th St, Idaho Falls, ID, 83404-6269
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Provider Profile Details
NPI Number
1336224633
Provider Name
G. Van Stosich
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1400 E 17Th St, Idaho Falls, ID, 83404-6269
Phone Number
208-522-8061
Fax Number
208-522-8061
Provider Enumeration Date
10/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6F233 01 ID BLUE CROSS ID
D-1730 01 ID DENTIST LICENSE #
institution
Provider Business Practice Location Address Details
Address
1400 E 17Th St
City
State
Zip
83404-6269
Phone Number
208-522-8061
Fax Number
208-522-8061
person
Provider Business Mailing Address Details
Address
1400 E 17Th St
City
State
Zip
83404-6269
Phone Number
208-522-8061
Fax Number
208-522-8061
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
D-1730 (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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