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Bracken Ross Bateman, DDS
General Practice Dentistry in Rexburg, Idaho
NPI 1477177566

Bracken Ross Bateman is a General Practice Dentistry based in Idaho Falls, ID and is specialized in General Practice. Bracken Ross Bateman practices in Rexburg, ID and has the professional credentials of DDS. The NPI Number for Bracken Ross Bateman is 1477177566 and holds a License No. D-5151 (Idaho).

The current practice location address for Bracken Ross Bateman is 242 E Main St, Rexburg, ID and can be reached out via phone at 208-680-7067.

Location: 242 E Main St, Rexburg, ID, 83401-1226
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477177566
Provider Name
Bracken Ross Bateman
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
242 E Main St, Rexburg, ID, 83401-1226
Phone Number
208-680-7067
Fax Number
Provider Enumeration Date
06/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
242 E Main St
City
Rexburg
State
Idaho
Zip
83440-2022
Phone Number
208-680-7067
Fax Number
person
Provider Business Mailing Address Details
Address
242 E Main St
City
Rexburg
State
Idaho
Zip
83440-2022
Phone Number
208-680-7067
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D-5151 (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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