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DR. ROBERT L FACKRELL DDS
NPI 1215072798
Dentist - General Practice in Pocatello, ID

Active since February 21, 2007
415 N 3RD AVE STE A, POCATELLO, ID 83201(208) 233-2355(208) 233-0582 Get Directions Write a Review

NPPES record last updated: January 13, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Robert L Fackrell Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROBERT L FACKRELL DDS (NPI 1215072798) is an individual general practice provider in Pocatello, Idaho, licensed in Idaho (D3134) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1215072798
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ROBERT L FACKRELLCredential: DDS
Location Address415 N 3RD AVE STE APocatello, ID 83201-6306
Mailing Address415 N 3rd Ave Ste APocatello, ID 83201-6306 · (208) 233-2355 · Fax (208) 233-0582
Phone(208) 233-2355
Fax(208) 233-0582
Sole ProprietorYes
Enumeration DateFebruary 21, 2007
Last NPPES UpdateJanuary 13, 2015
✔ NPI 1215072798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in ID · D3134
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

415 N 3RD AVE STE A, Pocatello, ID 83201
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Other Identifiers 3

Medicaid002783500ID
Other000010010434ID · Blue Cross
Other537818ID · United Concordia

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT L. FACKRELL DDS PA
Dentist
415 N 3RD AVE STE A
POCATELLO, ID 83201
Bannock County (208) 233-2355

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Fackrell's NPI number?

The NPI number for Robert Fackrell is 1215072798. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Where is Robert Fackrell located?

Robert Fackrell practices at 415 N 3rd Ave Ste A, Pocatello, ID 83201. The listed phone number is (208) 233-2355.

What is Robert Fackrell's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Robert Fackrell accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Robert Fackrell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Robert Fackrell was last updated on January 13, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.