DENTURE CLINIC INC NPI 1184169245

NPI Information

  • NPI: 1184169245
  • Provider Name: DENTURE CLINIC INC
  • Classification: Dental Laboratory - 292200000X
  • Entity Type: Organization
  • Doing Business As: DENTURES BY DESIGN
  • Address: 505 1ST ST STE A
    IDAHO FALLS, ID
    ZIP 83401
  • Phone: (208) 525-6002

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NPI Details

DENTURE CLINIC INC is a dental laboratory in Idaho Falls, ID. The provider is a commercial laboratory specializing in the construction of dental appliances that conform to a dentist's specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays. DENTURE CLINIC INC NPI is 1184169245. The provider is registered as an organization entity type.
The provider Is Doing Business As Dentures By Design.

The provider's business location address is:

505 1ST ST STE A
IDAHO FALLS, ID
ZIP 83401-929
Phone: (208) 525-6002
Fax: (208) 525-6003

The provider's authorized official is Fred Elmer Giovanini .
The authorized official title is Denturist and has the following contact phone number (208) 525-6002.

The enumeration date for this NPI number is 12/28/2016 and was last updated on 12/28/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1292200000XDental LaboratoryLD35IDAHOYes

What is NPI?

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This page was last updated on: 3/30/2025

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