Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Allied Dental Clinic, PC

Organization General Practice Dentistry · NPI 1790999407

Allied Dental Clinic, PC provides General Practice Dentistry in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1246 Yellowstone Ave Ste B3
Pocatello, ID 83201-4372
Phone: (208) 237-0563
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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 D3171 (ID)

Record details

NPI number1790999407
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randall Snow — Owner · (208) 237-0563
NPI enumeratedMay 10, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1246 Yellowstone Ave Ste B3, Pocatello, ID 83201-4372

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