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

CLUBHOUSE PEDIATRIC DENTISTRY OF IDAHO FALLS

Active Organization

CLUBHOUSE PEDIATRIC DENTISTRY OF IDAHO FALLS is a Pediatric Dentistry organization located in IDAHO FALLS, Idaho. NPI 1376028324 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · IDAHO FALLS, ID

Registration Details

NPI Number
1376028324
Provider Type
Organization
NPI Issued
Sep 26, 2018 (7.9124336862897 yrs)
Last Updated
Sep 26, 2018

Practice Information

Address
3411 MERLIN DR
IDAHO FALLS, ID, 834047430
Browse ID providers · Browse ZIP 83404
Phone
2085201514
Primary Specialty
Pediatric Dentistry
1223P0221X

Other Pediatric 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.