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

Teton Plastic Surgery

Organization Plastic and Reconstructive Surgery Physician · NPI 1154549616

Teton Plastic Surgery is a Plastic and Reconstructive Surgery Physician in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007

Practice location Address checks out

2860 Channing Way Ste 213
Idaho Falls, ID 83404-7531
Phone: (208) 552-1406
Fax: (208) 552-1416
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence M-8270 (ID)

Record details

NPI number1154549616
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Martin — Office Manager · (208) 552-1406
NPI enumeratedApril 23, 2007
Last updated in NPPESMarch 7, 2023
Mailing addressPo Box 1769, Idaho Falls, ID 83403-1769

Other providers in Idaho Falls