Individual provider · Type 1 NPI

Kevin Richard Mudrow, DDS

Dentist · Idaho Falls, ID

NPI number 1114126992 Active

Practice location

333 S Woodruff Ave, Suite F
Idaho Falls, ID 83401-4322

Call (208) 524-2030 Map

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XD8946 (OR)
Dentist Primary 122300000XD4481 (ID)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1114126992

Kevin Richard Mudrow, DDS's National Provider Identifier is 1114126992, issued on Jul 12, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Idaho Falls, ID. The record was last updated on Sep 11, 2013.