YELLOWSTONE DENTAL ASSOCIATES PLLC NPI 1588293146

NPI Information

YELLOWSTONE DENTAL ASSOCIATES, PLLC is a general practice dentist in Pocatello, 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. YELLOWSTONE DENTAL ASSOCIATES, PLLC NPI is 1588293146. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

115 E CHAPEL RD
POCATELLO, ID
ZIP 83201-540
Phone: (208) 232-3500

The provider's authorized official is Taylor Ashcraft .
The authorized official title is Practice Manager and has the following contact phone number (208) 716-5669.

The enumeration date for this NPI number is 4/6/2020 and was last updated on 4/6/2020.

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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