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PORTNEUF DENTAL PLLC NPI 1669847596


NPI Information

NPI: 1669847596
Provider Name: PORTNEUF DENTAL PLLC

Doing Business As: SUPERIOR SMILES

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
115 S 15TH AVE
SUITE #E
POCATELLO, ID
ZIP 83201
Phone: (208) 233-4310
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PORTNEUF DENTAL 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. PORTNEUF DENTAL PLLC NPI is 1669847596. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Superior Smiles.

The provider's business location address is:

115 S 15TH AVE
SUITE #E
POCATELLO, ID
ZIP 83201-004
Phone: (208) 233-4310
Fax: (208) 233-4368

The provider's authorized official is Darcy Jo Hochstrasser .
The authorized official title is Office Manager and has the following contact phone number (208) 233-4310.

The enumeration date for this NPI number is 12/3/2015 and was last updated on 2/2/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeIDAHOYes

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

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