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

Robert L. Fackrell DDS PA

Organization Dentist · NPI 1801225180

Robert L. Fackrell DDS PA is a Dentist in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2013.

Licensed in
ID
In the registry since
2013
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

415 N 3rd Ave Ste A
Pocatello, ID 83201-6306
Phone: (208) 233-2355
Fax: (208) 233-0582
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D3134 (ID)

Record details

NPI number1801225180
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Fackrell — President · (208) 233-2355
Other names Fackrell Family Dentistry
NPI enumeratedNovember 6, 2013
Last updated in NPPESJanuary 13, 2015
Mailing address415 N 3rd Ave Ste A, Pocatello, ID 83201-6306

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