IDAHO FALLS PEDIATRIC DENTISTRY, PLLC is a pediatric dentistry dentist in Idaho Falls, 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. IDAHO FALLS PEDIATRIC DENTISTRY, PLLC NPI is 1700447596. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
3387 MERLIN DR
IDAHO FALLS, ID
ZIP 83404-405
Phone: (208) 419-3622
Fax: (208) 419-3461
The provider's authorized official is Kailey Anne Housley .
The authorized official title is Pediatric Dentist, Owner and has the following contact phone number (208) 419-3622.
The enumeration date for this NPI number is 6/24/2019 and was last updated on 6/24/2019.