institution
Michael T Mchugh D.d.s., Pa
Dental Clinic/Center in Pocatello, Idaho
NPI 1891918603

Michael T Mchugh D.d.s., Pa is a Dental Clinic/Center based in Pocatello, ID and is specialized in Dental. Michael T Mchugh D.d.s., Pa practices in Pocatello, ID. The NPI Number for Michael T Mchugh D.d.s., Pa is 1891918603 and holds a License No. D1755 (Idaho).

The current practice location address for Michael T Mchugh D.d.s., Pa is 1246 Yellowstone Ave, Pocatello, ID and can be reached out via phone at 208-238-0125 and via fax at 208-478-2200.

Location: 1246 Yellowstone Ave, Pocatello, ID, 83201-4374
institution
Provider Profile Details
NPI Number
1891918603
Provider Name
Michael T Mchugh D.d.s., Pa
Credential
Provider Entity Type
Organization
Address
1246 Yellowstone Ave, Pocatello, ID, 83201-4374
Phone Number
208-238-0125
Fax Number
208-478-2200
Provider Enumeration Date
04/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
679416 01 UNITED CONCORDIA
68007 01 ID BLUE CROSS OF IDAHO
123544 01 DESERET MUTUAL
000010009646 01 ID BLUE SHIELD OF IDAHO
institution
Provider Business Practice Location Address Details
Address
1246 Yellowstone Ave
City
State
Zip
83201-4374
Phone Number
208-238-0125
Fax Number
208-478-2200
person
Provider Business Mailing Address Details
Address
1246 Yellowstone Ave
City
State
Zip
83201-4374
Phone Number
208-238-0125
Fax Number
208-478-2200
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
D1755 (Idaho)
Definition
Definition to come...
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