COMFORT CARE DENTAL OF REXBURG PLLC NPI 1093975211

NPI Information

COMFORT CARE DENTAL OF REXBURG, PLLC is a general practice dentist in Rexburg, ID. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. COMFORT CARE DENTAL OF REXBURG, PLLC NPI is 1093975211. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Madison Clinic Dentistry, Pc.

The provider's business location address is:

242 E MAIN ST
REXBURG, ID
ZIP 83440-022
Phone: (208) 359-2345
Fax: (208) 359-1890

The provider's authorized official is Layne Edwin Hacking .
The authorized official title is Owner and has the following contact phone number (208) 359-2345.

The enumeration date for this NPI number is 6/11/2008 and was last updated on 5/23/2016.

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:

Other Identifiers

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