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FOUR SEASON DENTAL PC
NPI 1215102439
Dentist - General Practice in Pocatello, ID

Active since April 29, 2008
115 E CHAPEL RD, POCATELLO, ID 83201(208) 237-6848(208) 237-6811 Get Directions Write a Review

NPPES record last updated: April 29, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Four Season Dental Pc NPPES

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

FOUR SEASON DENTAL PC (NPI 1215102439) is a healthcare organization registered as a general practice in Pocatello, Idaho and active in the NPI registry since April 2008. The organization lists Liz John, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1215102439
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFOUR SEASON DENTAL PC
Location Address115 E CHAPEL RDPocatello, ID 83201
Mailing Address115 E Chapel RdPocatello, ID 83201 · (208) 237-6848 · Fax (208) 237-6811
Phone(208) 237-6848
Fax(208) 237-6811
Organization SubpartNo
Authorized OfficialLiz JohnOffice Manager · (208) 237-6848
Enumeration DateApril 29, 2008
✔ NPI 1215102439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in ID · D1967✔ Licensed in ID · D3808
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.
115 E CHAPEL RD, Pocatello, ID 83201
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

YELLOWSTONE DENTAL ASSOCIATES, PLLC
Dentist (General Practice)
115 E CHAPEL RD
POCATELLO, ID 83201
Bannock County (208) 232-3500
DR. CASEY RYAN ORR DMD
Dentist
115 E CHAPEL RD
POCATELLO, ID 83201
Bannock County (208) 232-3500

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 Four Season Dental PC's NPI number?

The NPI number for Four Season Dental PC is 1215102439. It was assigned to this organization in the NPPES registry on April 29, 2008.

Where is Four Season Dental PC located?

Four Season Dental PC is located at 115 E Chapel Rd, Pocatello, ID 83201. The listed phone number is (208) 237-6848.

What is Four Season Dental PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Four Season Dental PC was last updated on April 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.