Idaho Falls Smiles, Pllc
NPI #1649610726 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1649610726
- Entity Type
- Organization
- Organization Name
- Idaho Falls Smiles, Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 3, 2013
- Last Updated
- Jul 3, 2013
Practice Location
- Address
- 3375 MERLIN DR
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7405
- Phone
- (208) 524-1700
Authorized Official
- Name
- DR. DAVID M HENINGER, DDS
- Title
- PRESIDENT/PART-OWNER
- Phone
- (208) 524-1700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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