Valley Dental Pa

  • 1114067105 NPI Number
  • |
  • Actived: 12 years ago
  • |
According to our database, NPI number for Valley Dental Pa is 1114067105 and actived since Wednesday, February 7 2007. Valley Dental Pa is an Organization provider specializes in Pediatric Dentistry. Provider information was last updated on 11/30/2016.

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Overview of Valley Dental Pa

  • NPI number: 1932755626
  • Provider type: Organization
  • Specialty: Pediatric Dentistry
  • Active since: 02/07/2007
  • Last updated: 11/30/2016

Primary Scrop of Practice

  • Taxonomy Code: 1223P0221X
  • Specialty: Pediatric Dentistry
  • License Number: D1664
  • License State: ID

Provider Mailing Address

  • Address: 716 Yellowstone Ave
    Pocatello, ID 83201
  • Phone: 208-478-5437
  • Fax: 208-232-5490

Provider Practice Location

  • Address: 716 Yellowstone Ave
    Pocatello, ID 83201
  • Phone: 208-478-5437
  • Fax: 208-232-5490

Authorized Official

  • Name: DR. Larry W Bybee DDS
  • Position/Title: Owner
  • Telephone Number: 208-478-5437

Scope of Practice

  • Taxonomy Code: 1223P0221X
  • Specialty: Pediatric Dentistry
  • License Number: D1664
  • License State: ID
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 806808800
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: ID
  • Issuer:

Question & Answers

What is the npi number?

  • Q: What is the npi number for Valley Dental Pa?
  • A: The npi number for Valley Dental Pa is 1114067105.
  • Q: What are Valley Dental Pa's specialties?
  • A: Valley Dental Pa's specialties are Pediatric Dentistry and different specialities.
  • Q: Where is Valley Dental Pa business practice location?
  • A: Valley Dental Pa business practice location is 716 Yellowstone Ave, Pocatello, ID 83201.
  • Q: How to contact Valley Dental Pa?
  • A: You can contact Valley Dental Pa via 208-478-5437.
  • Q: What is the authorized official for Valley Dental Pa?
  • A: The authorized office name is DR. Larry W Bybee DDS with position/title is Owner and you can reach the authorized official via phone number 2084785437.