| Affordable Family Dentistry Pc | |
|
1400 E 17th St Idaho Falls ID 83404-6269 | |
| (208) 881-9177 | |
| (866) 767-0878 |
| Full Name | Affordable Family Dentistry Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1400 E 17th St, Idaho Falls, Idaho |
| Authorized Official Name and Position | Tracy Dean Jenkins (PRESIDENT) |
| Authorized Official Contact | 2088819177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Affordable Family Dentistry Pc 1400 E 17th St Idaho Falls ID 83404-6269 Ph: (208) 881-9177 | Affordable Family Dentistry Pc 1400 E 17th St Idaho Falls ID 83404-6269 Ph: (208) 881-9177 |
| NPI Number | 1245560945 |
|---|---|
| Provider Enumeration Date | 01/04/2010 |
| Last Update Date | 10/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245560945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D-4216 (Idaho) | Primary |
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