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

Idaho State University

Organization General Practice Dentistry · NPI 1851516256

Idaho State University 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

Practice location Address checks out

465 Memorial Dr
Pocatello, ID 83209-8088
Phone: (208) 282-6000
Fax: (208) 282-4950
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X (ID)

Record details

NPI number1851516256
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationIdaho State University
Authorized official Brian Crawford — Program Director Iagd · (208) 282-5275
Other names Pocatello Family Dentistry
NPI enumeratedApril 13, 2007
Last updated in NPPESMarch 24, 2008
Mailing address921 S. 8th Ave., Stop 8088, Pocatello, ID 83209-8088

Other providers in Pocatello