Individual provider · Type 1 NPI
Randall Corey Snow, DMD
General Practice Dentistry · Pocatello, ID
NPI number
1568575330
Active
Practice location
1246 Yellowston, Suite B3
Pocatello, ID 83201
Fax (208) 237-0563
Mailing address
242 S 7th Ave
Pocatello, ID 83201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | D3171 (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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- Leigh E. Ammon, DMDGeneral Practice Dentistry Pocatello, ID NPI 1174747190
- Robert L. Fackrell, DDSGeneral Practice Dentistry Pocatello, ID NPI 1215072798
- Timothy Robert Jessop, DDSGeneral Practice Dentistry Pocatello, ID NPI 1245542596
- Saeed Gholizadeh, DDSGeneral Practice Dentistry Pocatello, ID NPI 1255173191
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About NPI 1568575330
Randall Corey Snow, DMD's National Provider Identifier is 1568575330, issued on Aug 16, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Pocatello, ID. The record was last updated on Jul 8, 2007.