ANDREW STODDARD DENTAL SERVICES PLLC NPI 1346501657

NPI Information

NPI: 1346501657
Provider Name: ANDREW STODDARD DENTAL SERVICES, PLLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1525 BALDY AVE
POCATELLO, ID
ZIP 83201
Phone: (208) 238-0011
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ANDREW STODDARD DENTAL SERVICES, PLLC is a dental clinic center in Pocatello, ID. ANDREW STODDARD DENTAL SERVICES, PLLC NPI is 1346501657. The provider is registered as an organization entity type.

The provider's business location address is:

1525 BALDY AVE
POCATELLO, ID
ZIP 83201-117
Phone: (208) 238-0011

The provider's authorized official is Andrew Stoddard .
The authorized official title is Sole Member and has the following contact phone number (208) 238-0011.

The enumeration date for this NPI number is 6/4/2012 and was last updated on 6/4/2012.

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
1	261QD0000X	Clinic/Center	Dental	D-4149	IDAHO	Yes

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: 11/14/2023

NPI Synchronization or Removal

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