Individual provider · Type 1 NPI

Andrea Sue Radabaugh, DDS

Dentist · Pocatello, ID

NPI number 1316258098 Active

Practice location

465 Memorial Dr
Pocatello, ID 83201-4008

Call (208) 282-6000 Map

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XD4296 (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 1316258098

Andrea Sue Radabaugh, DDS's National Provider Identifier is 1316258098, issued on Jun 28, 2010. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Pocatello, ID. The record was last updated on Jun 28, 2010.