Individual provider · Type 1 NPI

Robert L. Fackrell, DDS

General Practice Dentistry · Pocatello, ID

NPI number 1215072798 Active

Practice location

415 N 3rd Ave Ste A
Pocatello, ID 83201-6306

Call (208) 233-2355 Map

Fax (208) 233-0582

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD3134 (ID)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1215072798

Robert L. Fackrell, DDS's National Provider Identifier is 1215072798, issued on Feb 21, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Pocatello, ID. The record was last updated on Jan 13, 2015.