Excellence In Dentistry Pa is a Dental Clinic in Idaho Falls, Idaho. It is located at 2515 Channing Way, Idaho Falls, ID and its contact number is 208-529-4321. The authorized person for Excellence In Dentistry Pa is Dr. Duane Kent Godfrey
who is Dentist of the clinic and their contact number is 208-529-4321. The primary license number for Excellence In Dentistry Pa is D1637 (General Practice) in Idaho. Excellence In Dentistry Pa Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Excellence In Dentistry Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Excellence In Dentistry Pa
Specialization:
General Practice Dentistry
Clinic Address:
2515 Channing Way, Idaho Falls, Idaho, 83404-7516
Phone:
208-529-4321
Fax:
208-529-8609
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. Duane Kent Godfrey
Position:
Dentist
Contact Number:
208-529-4321
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 Excellence In Dentistry Pa clinic are as mentioned below.
NPI Number:
1881602266
NPI Enumeration Date:
03 Aug, 2006
NPI Last Update On:
17 Dec, 2010
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Excellence In Dentistry Pa are as mentioned below.
Specialization
License Number
State
Status
General Practice
D1637
Idaho
Primary
General Practice
D3983
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
807539000
Medicaid
Idaho
000755500
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:
Excellence In Dentistry Pa 2515 Channing Way, Idaho Falls, Idaho
Zip:
83404-7516
Phone Number:
208-529-4321
Fax Number:
208-529-8609
Patients can reach Excellence In Dentistry Pa at 2515 Channing Way, Idaho Falls, Idaho or can call to book an appointment on 208-529-4321. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.