institution
Bingham Endodontics, Pllc
Dental Clinic/Center in Jackson, Wyoming
NPI 1972863207

Bingham Endodontics, Pllc is a Dental Clinic/Center based in Idaho Falls, WY and is specialized in Dental. Bingham Endodontics, Pllc practices in Jackson, WY. The NPI Number for Bingham Endodontics, Pllc is 1972863207 and holds a License No. 1191 (Wyoming).

The current practice location address for Bingham Endodontics, Pllc is 610 W. Broadway Ave, Jackson, WY and can be reached out via phone at 208-227-0382 and via fax at 208-227-0384. You can also correspond with Bingham Endodontics, Pllc through the mailing address at 3387 MERLIN DR, IDAHO FALLS, ID - 83404-7405 (mailing address contact number: ).

Location: 610 W. Broadway Ave, Jackson, WY, 83404-7405
institution
Provider Profile Details
NPI Number
1972863207
Provider Name
Bingham Endodontics, Pllc
Credential
Provider Entity Type
Organization
Address
610 W. Broadway Ave, Jackson, WY, 83404-7405
Phone Number
208-227-0382
Fax Number
208-227-0384
Provider Enumeration Date
05/21/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1780859223 05 ID
institution
Provider Business Practice Location Address Details
Address
610 W. Broadway Ave
City
State
Zip
83001
Phone Number
208-227-0382
Fax Number
208-227-0384
person
Provider Business Mailing Address Details
Address
610 W. Broadway Ave
City
State
Zip
83001
Phone Number
208-227-0382
Fax Number
208-227-0384
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
1191 (Wyoming)
Definition
Definition to come...
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