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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EAGLE ROCK DENTAL CARE

Active Organization

EAGLE ROCK DENTAL CARE is a General Dentistry organization located in IDAHO FALLS, Idaho. NPI 1356465660 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · IDAHO FALLS, ID

Registration Details

NPI Number
1356465660
Provider Type
Organization
NPI Issued
Mar 19, 2007 (19.405748257665 yrs)
Last Updated
Feb 3, 2014
Licenses
D-3271 (ID)
D-3063 (ID)
D-1890 (ID)
D4138 (ID)
D-1297 (ID)

Practice Information

Address
640 S WOODRUFF AVE
IDAHO FALLS, ID, 834015299
Browse ID providers · Browse ZIP 83401
Phone
2085235400
Fax
2085280565
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry
Additional Specialty
General Dentistry
Additional Specialty
General Dentistry
Additional Specialty
General Dentistry

Other General Dentistry Organizations in IDAHO FALLS, ID

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.