Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Allied Dental Clinic, PC

Organization General Practice Dentistry · NPI 1790999407

Allied Dental Clinic, PC is a General Practice Dentistry in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1246 Yellowstone Ave Ste B3
Pocatello, ID 83201-4372
Phone: (208) 237-0563
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D3171 (ID)

Record details

NPI number1790999407
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randall Snow — Owner · (208) 237-0563
NPI enumeratedMay 10, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1246 Yellowstone Ave Ste B3, Pocatello, ID 83201-4372

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