Eagle Rock Dental Care is a Dental Clinic in Idaho Falls, Idaho. It is located at 640 S Woodruff Ave, Idaho Falls, ID and its contact number is 208-523-5400. The authorized person for Eagle Rock Dental Care is Trudee L Chapple
who is Administrator of the clinic and their contact number is 208-523-5400. The primary license number for Eagle Rock Dental Care is D-1297 (General Practice) in Idaho. Eagle Rock Dental Care 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:
Eagle Rock Dental Care Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Eagle Rock Dental Care
Specialization:
Dentistry
Clinic Address:
640 S Woodruff Ave, Idaho Falls, Idaho, 83401-5299
Phone:
208-523-5400
Fax:
208-528-0565
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:
Trudee L Chapple
Position:
Administrator
Contact Number:
208-523-5400
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 Eagle Rock Dental Care clinic are as mentioned below.
NPI Number:
1356465660
NPI Enumeration Date:
19 Mar, 2007
NPI Last Update On:
03 Feb, 2014
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Eagle Rock Dental Care are as mentioned below.
Specialization
License Number
State
Status
General Practice
D-1297
Idaho
Primary
Dentist
D-3271
Idaho
Secondary
General Practice
D-3063
Idaho
Secondary
General Practice
D-1890
Idaho
Secondary
General Practice
D4138
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
D4138
Other
Idaho
Isda
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Eagle Rock Dental Care 640 S Woodruff Ave, Idaho Falls, Idaho
Zip:
83401-5299
Phone Number:
208-523-5400
Fax Number:
208-528-0565
Patients can reach Eagle Rock Dental Care at 640 S Woodruff Ave, Idaho Falls, Idaho or can call to book an appointment on 208-523-5400. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.