IDAHO FALLS SMILES PLLC NPI 1649610726

NPI Information

IDAHO FALLS SMILES, PLLC 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. IDAHO FALLS SMILES, PLLC NPI is 1649610726. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3375 MERLIN DR
IDAHO FALLS, ID
ZIP 83404-405
Phone: (208) 524-1700
Fax: (208) 524-1702

The provider's authorized official is David M Heninger .
The authorized official title is President/part-owner and has the following contact phone number (208) 524-1700.

The enumeration date for this NPI number is 7/3/2013 and was last updated on 7/3/2013.

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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