Organization · Type 2 NPI
Children's Dentistry of Pocatello
Pediatric Dentistry · Pocatello, ID
NPI number
1255730370
Active
Practice location
425 E Alameda Rd
Pocatello, ID 83201-3609
Fax (208) 238-1241
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | D3679PD (ID) |
Pediatric Dentistry: 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.
2 other providers at this address
Other pediatric dentistry providers in Pocatello
About NPI 1255730370
Children's Dentistry of Pocatello's National Provider Identifier is 1255730370, issued on Aug 14, 2014. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Pocatello, ID. The record was last updated on Aug 14, 2014.