Grin Pllc is a Dental Clinic in Idaho Falls, Idaho. It is located at 2685 Channing Way, Idaho Falls, ID and its contact number is 208-522-1164. The authorized person for Grin Pllc is Dr. James G Drake
who is Doctor/partner of the clinic and their contact number is 208-524-0870. The primary license number for Grin Pllc is D3723 (General Practice) in Idaho. Grin Pllc 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:
Grin Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Grin Pllc
Specialization:
General Practice Dentistry
Clinic Address:
2685 Channing Way, Idaho Falls, Idaho, 83404-7518
Phone:
208-522-1164
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. James G Drake
Position:
Doctor/partner
Contact Number:
208-524-0870
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 Grin Pllc clinic are as mentioned below.
NPI Number:
1144720103
NPI Enumeration Date:
16 Feb, 2018
NPI Last Update On:
16 Feb, 2018
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Grin Pllc are as mentioned below.
Specialization
License Number
State
Status
General Practice
D3723
Idaho
Primary
General Practice
D3203
Idaho
Secondary
General Practice
D1989
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
000886878
Other
United Concordia
001493204
Other
United Concordia
6K158
Other
Idaho
Blue Cross Of Idaho
6C016
Other
Idaho
Blue Cross Of 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:
Grin Pllc 885 Pancheri Dr, Idaho Falls, Idaho
Zip:
83402-3344
Phone Number:
208-524-0870
Patients can reach Grin Pllc at 2685 Channing Way, Idaho Falls, Idaho or can call to book an appointment on 208-522-1164. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.