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

Children's Dentistry of Pocatello

Organization Pediatric Dentistry · NPI 1588823264

Children's Dentistry of Pocatello is a Pediatric Dentistry in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2008.

Licensed in
ID
In the registry since
2008
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Practice location Address checks out

425 E Alameda Rd
Pocatello, ID 83201-3609
Phone: (208) 238-1165
Fax: (208) 238-1241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence D3679 (ID)

Record details

NPI number1588823264
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ross Hugues — Officer · (208) 238-1165
NPI enumeratedJune 6, 2008
Last updated in NPPESAugust 20, 2014
Mailing address425 E Alameda Rd, Pocatello, ID 83201-3609

Other providers in Pocatello