Organization · Type 2 NPI
Idaho Falls Pediatric Dentistry, PLLC
Pediatric Dentistry · Ammon, ID
NPI number
1700447596
Active
Practice location
3015 Eagle Dr
Ammon, ID 83406-1273
Fax (208) 419-3461
Mailing address
3387 Merlin Dr
Idaho Falls, ID 83404-7405
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | None listed |
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 Ammon
About NPI 1700447596
Idaho Falls Pediatric Dentistry, PLLC's National Provider Identifier is 1700447596, issued on Jun 24, 2019. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Ammon, ID. The record was last updated on May 28, 2025.