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Brett Jack Lancaster, DMD
General Practice Dentistry in Burley, Idaho
NPI 1619296605

Brett Jack Lancaster is a General Practice Dentistry based in Twin Falls, ID and is specialized in General Practice. Brett Jack Lancaster practices in Burley, ID and has the professional credentials of DMD. The NPI Number for Brett Jack Lancaster is 1619296605 and holds a License No. (Idaho).

The current practice location address for Brett Jack Lancaster is 1361 E 16Th St, Burley, ID and can be reached out via phone at 208-677-5198 and via fax at 208-678-2245.

Location: 1361 E 16Th St, Burley, ID, 83301-6856
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619296605
Provider Name
Brett Jack Lancaster
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1361 E 16Th St, Burley, ID, 83301-6856
Phone Number
208-677-5198
Fax Number
208-678-2245
Provider Enumeration Date
05/31/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1361 E 16Th St
City
Burley
State
Idaho
Zip
83318-2008
Phone Number
208-677-5198
Fax Number
208-678-2245
person
Provider Business Mailing Address Details
Address
1361 E 16Th St
City
Burley
State
Idaho
Zip
83318-2008
Phone Number
208-677-5198
Fax Number
208-678-2245
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D-4412 (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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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