Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Four Season Dental PC

Organization General Practice Dentistry · NPI 1215102439

Four Season Dental PC provides General Practice Dentistry in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2008.

Licensed in
ID
In the registry since
2008
Specialties on file
2
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

115 E Chapel Rd
Pocatello, ID 83201 Not confirmed with CMS for 18 years — call before visiting
Phone: (208) 237-6848
Fax: (208) 237-6811
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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 D1967 (ID)
General Practice Dentistry Taxonomy 1223G0001X · Licence D3808 (ID)

Record details

NPI number1215102439
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Liz John — Office Manager · (208) 237-6848
NPI enumeratedApril 29, 2008
Last updated in NPPESApril 29, 2008
Mailing address115 E Chapel Rd, Pocatello, ID 83201

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