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G. WILLIAM GODFREY DDS LEE R. REDDISH DDS PLLC NPI 1851566392


NPI Information

NPI: 1851566392
Provider Name: G. WILLIAM GODFREY, DDS LEE R. REDDISH, DDS PLLC

Doing Business As: VALLEY VIEW FAMILY DENTISTRY

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1980 BIRDIE THOMPSON DR
POCATELLO, ID
ZIP 83201
Phone: (208) 233-8750
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G. WILLIAM GODFREY, DDS LEE R. REDDISH, DDS PLLC is a dental clinic center in Pocatello, ID. G. WILLIAM GODFREY, DDS LEE R. REDDISH, DDS PLLC NPI is 1851566392. The provider is registered as an organization entity type.
The provider Is Doing Business As Valley View Family Dentistry.

The provider's business location address is:

1980 BIRDIE THOMPSON DR
POCATELLO, ID
ZIP 83201-755
Phone: (208) 233-8750
Fax: (208) 233-8751

The provider's authorized official is Lee R Reddish .
The authorized official title is Part-owner Dentist and has the following contact phone number (208) 233-8750.

The enumeration date for this NPI number is 4/25/2008 and was last updated on 4/25/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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