Dr Rufus Van Dyke Iii, DDS, MCLD - Dentist in Pocatello, ID

Dr Rufus Van Dyke Iii, DDS, MCLD is a Dentist - Orthodontics And Dentofacial Orthopedics based in Pocatello, Idaho. Dr Rufus Van Dyke Iii is licensed to practice in Idaho (license number D-3206-OR) and his current practice location is 1501 Bench Rd, Pocatello, Idaho. He can be reached at his office (for appointments etc.) via phone at (208) 237-3330.

NPI number for Dr Rufus Van Dyke Iii is 1780604702 and his current mailing address is 1501 Bench Road, Pocatello, Idaho. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1780604702.

Contact Information

Dr Rufus Van Dyke Iii, DDS, MCLD
1501 Bench Rd,
Pocatello, ID 83201-2443
(208) 237-3330
(208) 237-3347

Map and Direction




Healthcare Provider's Profile

Full NameDr Rufus Van Dyke Iii
GenderMale
SpecialityDentist - Orthodontics And Dentofacial Orthopedics
Location1501 Bench Rd, Pocatello, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1780604702
  • Provider Enumeration Date: 07/20/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Rufus Van Dyke Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780604702NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics D-3206-OR (Idaho)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Rufus Van Dyke Iii is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Rufus Van Dyke Iii, DDS, MCLD
1501 Bench Road,
Pocatello, ID 83201-2443

Ph: (208) 237-3330
Dr Rufus Van Dyke Iii, DDS, MCLD
1501 Bench Rd,
Pocatello, ID 83201-2443

Ph: (208) 237-3330

Reviews and Comments


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