IDAHO STATE UNIVERSITY 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. IDAHO STATE UNIVERSITY NPI is 1851516256. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pocatello Family Dentistry.
The provider's business location address is:
465 MEMORIAL DR.
POCATELLO, ID
ZIP 83209-088
Phone: (208) 282-6000
Fax: (208) 282-4950
The provider's authorized official is Brian Robert Crawford .
The authorized official title is Program Director Iagd and has the following contact phone number (208) 282-5275.
The enumeration date for this NPI number is 4/13/2007 and was last updated on 3/24/2008.