Eagle Rock Dental Care
Eagle Rock Dental Care is a Dentist in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2007.
- Licensed in
- ID
- In the registry since
- 2007
- Specialties on file
- 5
Practice location Address checks out
640 S Woodruff AveIdaho Falls, ID 83401-5299
Phone: (208) 523-5400
Fax: (208) 528-0565
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence D-1297 (ID) |
|---|---|
| Dentist | Taxonomy 122300000X · Licence D-3271 (ID) |
| General Practice Dentistry | Taxonomy 1223G0001X · Licence D-3063 (ID) |
| General Practice Dentistry | Taxonomy 1223G0001X · Licence D-1890 (ID) |
| General Practice Dentistry | Taxonomy 1223G0001X · Licence D4138 (ID) |
Record details
| NPI number | 1356465660 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Trudee Chapple — Administrator · (208) 523-5400 |
| NPI enumerated | March 19, 2007 |
| Last updated in NPPES | February 3, 2014 |
| Mailing address | 640 S Woodruff Ave, Idaho Falls, ID 83401-5299 |
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