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

DR. BRYCE A. BURTENSHAW, DDS

Active Sole Proprietor

General Dentistry · IDAHO FALLS, ID

Registration Details

NPI Number
1699725465
Provider Type
Individual
Gender
Male
NPI Issued
May 11, 2006 (19.946517677118 yrs)
Last Updated
May 14, 2015
License
D3614 (ID)
Sole Proprietor
Yes

Practice Information

Address
200 N WOODRUFF AVE
IDAHO FALLS, ID, 834014334
Browse ID providers · Browse ZIP 83401
Phone
2085290120
Fax
2085234711
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in IDAHO FALLS, ID

Name Credential NPI
DR. DUANE KENT GODFREY D.D.S. 1538135371
EVAN O JOHNSON DMD 1891756599
DR. GALEN J. STALEY DDS 1821047432
DR. MICHAEL AARON ELISON DMD 1205864832
DR. CURTIS JOHN GODFREY DDS 1518990241
BRANT N OLSON D.D.S.,P.A. 1285653071
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.