Kevin Richard Mudrow is a Idaho Falls, Idaho based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Kevin Richard Mudrow is D4481 for Dentistry in Idaho. His current practice location is 333 S Woodruff Ave, Suite F, Idaho Falls. Patients can reach him at 208-524-2030.
Kevin Richard Mudrow is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Kevin Richard Mudrow speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Kevin Richard Mudrow
Specialization:
Dentist
Gender:
Male
Credentials:
D.D.S.
Accepts Medicare Assignment:
No
Practice Address:
333 S Woodruff Ave, Suite F, Idaho Falls, Idaho, 83401-4322
Phone:
208-524-2030
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 are as mentioned below.
NPI Number:
1114126992
NPI Enumeration Date:
12 Jul, 2007
NPI Last Update On:
11 Sep, 2013
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kevin Richard Mudrow are as mentioned below.
License Number
Specialization
State
Status
D4481
Dentistry
Idaho
Primary
D8946
Dentistry
Oregon
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
333 S Woodruff Ave, Suite F Idaho Falls, Idaho
Zip:
83401-4322
Phone Number:
208-524-2030
Patients can reach Kevin Richard Mudrow at 333 S Woodruff Ave, Suite F, Idaho Falls, Idaho or can call to book an appointment on 208-524-2030. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.