Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN RICHARD MUDROW, D.D.S.
ActiveKEVIN RICHARD MUDROW, D.D.S. is a Dentist healthcare provider located in IDAHO FALLS, Idaho. NPI 1114126992 is currently active in the NPPES registry. Verify at CMS.
Dentist · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1114126992
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 12, 2007 (18.904326824866 yrs)
- Last Updated
- Sep 11, 2013
- Licenses
-
D8946 (OR)D4481 (ID)
Practice Information
- Address
-
333 S WOODRUFF AVESUITE FIDAHO FALLS, ID, 834014322Browse ID providers · Browse ZIP 83401
- Phone
- 2085242030
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
Other Dentist Providers in IDAHO FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| DR. KIRT BRUCE HILLAM | DDS | 1144339326 |
| BRAD L OSWALD | DDS | 1881789550 |
| DR. LYLE KRIS MUNK | DDS | 1417034190 |
| DR. VERN BARRY BRUGGEMAN | DDS | 1619010477 |
| DR. PHILIP R HARPER | D.M.D. | 1083818371 |
| DR. CHRISTOPHER M CANNON | DMD | 1013116979 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.