Individual provider · Type 1 NPI

John Memmott, DDS

Pediatric Dentistry · Idaho Falls, ID

NPI number 1801944913 Active

Practice location

2300 E 17th St
Idaho Falls, ID 83404-6504

Call (208) 525-8383 Map

Mailing address

PO Box 2046
Idaho Falls, ID 83403-2046

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XD-1870-PD (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.

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About NPI 1801944913

John Memmott, DDS's National Provider Identifier is 1801944913, issued on Jan 8, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Idaho Falls, ID. The record was last updated on Jul 8, 2007.