Burtenshaw Craig A & G Staley Gps is a Dental Clinic in Idaho Falls, Idaho. It is located at 200 N Woodruff Ave, Idaho Falls, ID and its contact number is 208-529-0120. The authorized person for Burtenshaw Craig A & G Staley Gps is Dr. Galen Jay Staley
who is Partner of the clinic and their contact number is 208-529-0120. The primary license number for Burtenshaw Craig A & G Staley Gps is D3064 (Dentist) in Idaho. Burtenshaw Craig A & G Staley Gps Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Burtenshaw Craig A & G Staley Gps Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Burtenshaw Craig A & G Staley Gps
Specialization:
Dentistry
Clinic Address:
200 N Woodruff Ave, Idaho Falls, Idaho, 83401-4334
Phone:
208-529-0120
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Galen Jay Staley
Position:
Partner
Contact Number:
208-529-0120
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Burtenshaw Craig A & G Staley Gps clinic are as mentioned below.
NPI Number:
1679745269
NPI Enumeration Date:
24 Mar, 2008
NPI Last Update On:
19 Jun, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Burtenshaw Craig A & G Staley Gps are as mentioned below.
Specialization
License Number
State
Status
Dentist
D3064
Idaho
Primary
Dentist
D1628
Idaho
Secondary
Dentist
D3614
Idaho
Secondary
Dentist
D3038
Idaho
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
806335900
Medicaid
Idaho
806939100
Medicaid
Idaho
02740700
Medicaid
Idaho
00274600
Medicaid
Idaho
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Burtenshaw Craig A & G Staley Gps 200 N Woodruff Ave, Idaho Falls, Idaho
Zip:
83401-4334
Phone Number:
208-529-0120
Patients can reach Burtenshaw Craig A & G Staley Gps at 200 N Woodruff Ave, Idaho Falls, Idaho or can call to book an appointment on 208-529-0120. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.