EAGLE ROCK DENTAL CARE NPI 1356465660

NPI Information

EAGLE ROCK DENTAL CARE is a general practice dentist in Idaho Falls, 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. EAGLE ROCK DENTAL CARE NPI is 1356465660. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

640 S WOODRUFF AVE
IDAHO FALLS, ID
ZIP 83401-299
Phone: (208) 523-5400
Fax: (208) 528-0565

The provider's authorized official is Trudee L Chapple .
The authorized official title is Administrator and has the following contact phone number (208) 523-5400.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 2/3/2014.

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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