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

ROBERT L. FACKRELL DDS PA

Active Organization

ROBERT L. FACKRELL DDS PA is a Dentist organization located in POCATELLO, Idaho. NPI 1801225180 is currently active in the NPPES registry. Verify at CMS.

Dentist · POCATELLO, ID

Registration Details

NPI Number
1801225180
Provider Type
Organization
NPI Issued
Nov 6, 2013 (12.778577132223 yrs)
Last Updated
Jan 13, 2015
License
D3134 (ID)

Practice Information

Address
415 N 3RD AVE STE A
POCATELLO, ID, 832016306
Browse ID providers · Browse ZIP 83201
Phone
2082332355
Fax
2082330582
Primary Specialty
Dentist
122300000X

Other Dentist Organizations in POCATELLO, 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.