person
John Memmott, DDS
Pediatric Dentist in Idaho Falls, Idaho
NPI 1801944913

John Memmott is a Pediatric Dentist based in Idaho Falls, ID and is specialized in Pediatric Dentistry. John Memmott practices in Idaho Falls, ID and has the professional credentials of DDS. The NPI Number for John Memmott is 1801944913 and holds a License No. D-1870-PD (Idaho).

The current practice location address for John Memmott is 2300 E 17Th St, Idaho Falls, ID and can be reached out via phone at 208-525-8383. You can also correspond with John Memmott through the mailing address at PO BOX 2046, IDAHO FALLS, ID - 83403-2046 (mailing address contact number: 208-525-8383).

Location: 2300 E 17Th St, Idaho Falls, ID, 83403-2046
person
Provider Profile Details
NPI Number
1801944913
Provider Name
John Memmott
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2300 E 17Th St, Idaho Falls, ID, 83403-2046
Phone Number
208-525-8383
Fax Number
Provider Enumeration Date
01/08/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2300 E 17Th St
City
State
Zip
83404-6504
Phone Number
208-525-8383
Fax Number
person
Provider Business Mailing Address Details
Address
2300 E 17Th St
City
State
Zip
83404-6504
Phone Number
208-525-8383
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
D-1870-PD (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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