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

Dr. Robert L Fackrell, DDS

Individual provider General Practice Dentistry · NPI 1215072798

Dr. Robert L Fackrell, DDS is a General Practice Dentistry in Pocatello, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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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

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D3134 (ID)

Record details

NPI number1215072798
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedFebruary 21, 2007
Last updated in NPPESJanuary 13, 2015
Mailing address415 N 3rd Ave Ste A, Pocatello, ID 83201-6306

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