Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MITCH DRISCOLL, DMD
ActiveDR. MITCH DRISCOLL, DMD is a Dentist healthcare provider located in ABERDEEN, Idaho. NPI 1790190692 is currently active in the NPPES registry. Verify at CMS.
Dentist · ABERDEEN, ID
Registration Details
- NPI Number
- 1790190692
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 30, 2014 (11.945053889785 yrs)
- Last Updated
- Jan 25, 2017
- License
-
D4644 (ID)
Practice Information
- Address
-
81 W WASHINGTON AVEABERDEEN, ID, 832104801Browse ID providers · Browse ZIP 83210
- Phone
- 2083974198
- Fax
- 2083975606
- Primary Specialty
-
Dentist
122300000X
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.