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

Children's Dentistry of Pocatello

Organization Pediatric Dentistry · NPI 1588823264

Children's Dentistry of Pocatello provides Pediatric Dentistry in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2008.

Licensed in
ID
In the registry since
2008

Practice location Address checks out

425 E Alameda Rd
Pocatello, ID 83201-3609 Not confirmed with CMS for 12 years — call before visiting
Phone: (208) 238-1165
Fax: (208) 238-1241
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence D3679 (ID)

Record details

NPI number1588823264
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ross Hugues — Officer · (208) 238-1165
NPI enumeratedJune 6, 2008
Last updated in NPPESAugust 20, 2014
Mailing address425 E Alameda Rd, Pocatello, ID 83201-3609

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