Fackrell Family Dentistry is a Dental Clinic in Pocatello, Idaho. It is located at 415 N 3rd Ave Ste A, Pocatello, ID and its contact number is 208-233-2355. The authorized person for Fackrell Family Dentistry is Dr. Robert L Fackrell
who is President of the clinic and their contact number is 208-233-2355. The primary license number for Fackrell Family Dentistry is D3134 (Dentist) in Idaho. Fackrell Family Dentistry 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:
Fackrell Family Dentistry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Fackrell Family Dentistry
Specialization:
Dentistry
Clinic Address:
415 N 3rd Ave Ste A, Pocatello, Idaho, 83201-6306
Phone:
208-233-2355
Fax:
208-233-0582
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. Robert L Fackrell
Position:
President
Contact Number:
208-233-2355
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 Fackrell Family Dentistry clinic are as mentioned below.
NPI Number:
1801225180
NPI Enumeration Date:
06 Nov, 2013
NPI Last Update On:
13 Jan, 2015
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Fackrell Family Dentistry are as mentioned below.
Specialization
License Number
State
Status
Dentist
D3134
Idaho
Primary
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
1215072798
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:
Fackrell Family Dentistry 415 N 3rd Ave Ste A, Pocatello, Idaho
Zip:
83201-6306
Phone Number:
208-233-2355
Fax Number:
208-233-0582
Patients can reach Fackrell Family Dentistry at 415 N 3rd Ave Ste A, Pocatello, Idaho or can call to book an appointment on 208-233-2355. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.