institution
Alligator Pediatric Dentistry ,pllc
Pediatric Dentist in Idaho Falls, Idaho
NPI 1679747588

Alligator Pediatric Dentistry ,pllc is a Pediatric Dentist based in Idaho Falls, ID and is specialized in Pediatric Dentistry. Alligator Pediatric Dentistry ,pllc practices in Idaho Falls, ID. The NPI Number for Alligator Pediatric Dentistry ,pllc is 1679747588 and holds a License No. D3257PD (Idaho).

The current practice location address for Alligator Pediatric Dentistry ,pllc is 3365 S Holmes Ave, Idaho Falls, ID and can be reached out via phone at 208-542-1333 and via fax at 208-552-7296. You can also correspond with Alligator Pediatric Dentistry ,pllc through the mailing address at 3365 S HOLMES AVE, IDAHO FALLS, ID - 83404-7981 (mailing address contact number: 208-542-1333).

Location: 3365 S Holmes Ave, Idaho Falls, ID, 83404-7981
institution
Provider Profile Details
NPI Number
1679747588
Provider Name
Alligator Pediatric Dentistry ,pllc
Credential
Provider Entity Type
Organization
Address
3365 S Holmes Ave, Idaho Falls, ID, 83404-7981
Phone Number
208-542-1333
Fax Number
208-552-7296
Provider Enumeration Date
04/22/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8041268000 05 ID
institution
Provider Business Practice Location Address Details
Address
3365 S Holmes Ave
City
State
Zip
83404-7981
Phone Number
208-542-1333
Fax Number
208-552-7296
person
Provider Business Mailing Address Details
Address
3365 S Holmes Ave
City
State
Zip
83404-7981
Phone Number
208-542-1333
Fax Number
208-552-7296
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
D3257PD (Idaho)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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