Individual provider · Type 1 NPI

Robert Glenn McMinn, DDS MSD

Orthodontics and Dentofacial Orthopedics Dentistry · Pocatello, ID

NPI number 1457570921 Active

Practice location

1133 Call Creek Dr.
Pocatello, ID 83201

Call (208) 232-0464 Map

Fax (208) 232-0863

Mailing address

2061 Sunrise Way
Pocatello, ID 83201-1985

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XD-1435-OR (ID)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1457570921

Robert Glenn McMinn, DDS MSD's National Provider Identifier is 1457570921, issued on Apr 24, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Pocatello, ID. The record was last updated on Jul 8, 2007.