Idaho State University
Idaho State University provides Dental Hygienist services in Pocatello, Idaho. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
999 Martin Luther King Jr WayPocatello, ID 83209-8048
Phone: (208) 282-3282
Fax: (208) 282-5355
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Hygienist (primary) | Taxonomy 124Q00000X |
|---|
Record details
| NPI number | 1972720936 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Brian Crawford — Program Director Dental Hygiene · (208) 282-5275 |
| Other names | Isu Dental Hygiene Clinic |
| NPI enumerated | April 19, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 921 S. 8th Ave., Stop 8048, Pocatello, ID 83209-8048 |