DENTISTRY FOR KIDS PLLC NPI 1679812002

NPI Information

NPI: 1679812002
Provider Name: DENTISTRY FOR KIDS PLLC

Doing Business As: TOOTH TOWN

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
625 E ALAMEDA RD.
POCATELLO, ID
ZIP 83201
Phone: (208) 237-1567
Get Directions

DENTISTRY FOR KIDS PLLC is a pediatric dentistry dentist in Pocatello, ID. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DENTISTRY FOR KIDS PLLC NPI is 1679812002. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Tooth Town.

The provider's business location address is:

625 E ALAMEDA RD.
POCATELLO, ID
ZIP 83201
Phone: (208) 237-1567
Fax: (208) 478-5097

The provider's authorized official is Robert D. Mcwhorter .
The authorized official title is President and has the following contact phone number (208) 237-1567.

The enumeration date for this NPI number is 2/5/2013 and was last updated on 2/5/2013.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	D-3451-PD	IDAHO	Yes
2	1223P0221X	Dentist	Pediatric Dentistry	D-4186-PD	IDAHO	No

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

NPI Synchronization or Removal

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