Robert L. Fackrell, DDS

General Practice Dentistry · Pocatello, ID

Individual Active NPI

NPI number 1215072798

Practice location

415 N 3rd Ave Ste a
Pocatello, ID 83201-6306
Phone
(208) 233-2355
Fax
(208) 233-0582

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NPI record

NPI
1215072798
Entity type
Individual (Type 1)
Enumeration date
February 21, 2007
Last updated
January 13, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D3134 ID

About Dr. Fackrell

Robert L. Fackrell, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 415 N 3rd Ave Ste a, Pocatello, ID 83201-6306. The NPI number 1215072798 was assigned on February 21, 2007 and the record was last updated on January 13, 2015.

Dr. Fackrell lists a license in the registry: #D3134 (ID) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Robert L. Fackrell, DDS?

The NPI number is 1215072798.

What is the phone number of Dr. Fackrell?

The phone number listed for the practice location is (208) 233-2355.

Where is Dr. Fackrell located?

415 N 3rd Ave Ste a, Pocatello, ID 83201-6306.

What is the taxonomy code for Dr. Fackrell?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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