SMILEMAKERS DENTAL OF POCATELLO PLLC NPI 1407236821

NPI Information

SMILEMAKERS DENTAL OF POCATELLO PLLC is a periodontics dentist in Pocatello, ID. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. SMILEMAKERS DENTAL OF POCATELLO PLLC NPI is 1407236821. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

675 YELLOWSTONE AVE STE E
POCATELLO, ID
ZIP 83201-511
Phone: (208) 478-5700
Fax: (208) 478-1181

The provider's authorized official is Paul P. Romriell .
The authorized official title is Owner and has the following contact phone number (208) 478-5700.

The enumeration date for this NPI number is 6/1/2015 and was last updated on 6/1/2015.

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:

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