Pocatello Family Dentistry is a Dental Clinic in Pocatello, Idaho. This organization is also known as sub part of Idaho State University. It is located at 465 Memorial Dr., Pocatello, ID and its contact number is 208-282-6000. The authorized person for Pocatello Family Dentistry is Dr. Brian Robert Crawford
who is Program Director Iagd of the clinic and their contact number is 208-282-5275. Pocatello Family Dentistry 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:
Pocatello 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:
Pocatello Family Dentistry
Specialization:
General Practice Dentistry
Clinic Address:
465 Memorial Dr., Pocatello, Idaho, 83209-8088
Phone:
208-282-6000
Fax:
208-282-4950
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. Brian Robert Crawford
Position:
Program Director Iagd
Contact Number:
208-282-5275
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 Pocatello Family Dentistry clinic are as mentioned below.
NPI Number:
1851516256
Parent Organization:
Idaho State University
NPI Enumeration Date:
13 Apr, 2007
NPI Last Update On:
24 Mar, 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 Pocatello Family Dentistry are as mentioned below.
Specialization
License Number
State
Status
General Practice
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
181764
Medicaid
Idaho
8057101
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:
Pocatello Family Dentistry 921 S. 8th Ave., Stop 8088, Pocatello, Idaho
Zip:
83209-8088
Phone Number:
208-282-6000
Fax Number:
208-282-4950
Patients can reach Pocatello Family Dentistry at 465 Memorial Dr., Pocatello, Idaho or can call to book an appointment on 208-282-6000. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.