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

Four Season Dental PC

Organization General Practice Dentistry · NPI 1215102439

Four Season Dental PC is a General Practice Dentistry in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2008.

Licensed in
ID
In the registry since
2008
Specialties on file
2
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

115 E Chapel Rd
Pocatello, ID 83201
Phone: (208) 237-6848
Fax: (208) 237-6811
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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 D1967 (ID)
General Practice Dentistry Taxonomy 1223G0001X · Licence D3808 (ID)

Record details

NPI number1215102439
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Liz John — Office Manager · (208) 237-6848
NPI enumeratedApril 29, 2008
Last updated in NPPESApril 29, 2008
Mailing address115 E Chapel Rd, Pocatello, ID 83201

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