Affordable Family Dentistry PC
NPI #1245560945 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1245560945
- Entity Type
- Organization
- Organization Name
- Affordable Family Dentistry PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 4, 2010
- Last Updated
- Oct 20, 2023
Practice Location
- Address
- 1400 E 17TH ST
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-6269
- Phone
- (208) 881-9177
Authorized Official
- Name
- DR. TRACY DEAN JENKINS, DDS
- Title
- PRESIDENT
- Phone
- (208) 881-9177
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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