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OLYMPUS FAMILY DENTAL
NPI 1306005236
Dentist - General Practice in Pocatello, ID

Active since June 05, 2008
1598 DELPHIC WAY STE B, POCATELLO, ID 83201(208) 237-4357(208) 237-1418 Get Directions Write a Review

NPPES record last updated: June 5, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Olympus Family Dental NPPES

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

OLYMPUS FAMILY DENTAL (NPI 1306005236) is a healthcare organization registered as a general practice in Pocatello, Idaho and active in the NPI registry since June 2008. The organization lists Richard E Fellows, Owner, as its authorized official.

NPPES Registry Identity

NPI1306005236
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameOLYMPUS FAMILY DENTAL
Location Address1598 DELPHIC WAY STE BPocatello, ID 83201-2200
Mailing Address1598 Delphic Way Ste BPocatello, ID 83201-2200 · (208) 237-4357 · Fax (208) 237-1418
Phone(208) 237-4357
Fax(208) 237-1418
Organization SubpartNo
Authorized OfficialRichard E FellowsOwner · (208) 237-4357
Enumeration DateJune 5, 2008
✔ NPI 1306005236 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 · D3406
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.
1598 DELPHIC WAY STE B, Pocatello, ID 83201
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

FELLOWS FAMILY DENTAL - AD LLC
Clinic/Center (Dental)
1598 DELPHIC WAY STE B
POCATELLO, ID 83201
Bannock County (208) 237-4357

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 Olympus Family Dental's NPI number?

The NPI number for Olympus Family Dental is 1306005236. It was assigned to this organization in the NPPES registry on June 5, 2008.

Where is Olympus Family Dental located?

Olympus Family Dental is located at 1598 Delphic Way Ste B, Pocatello, ID 83201. The listed phone number is (208) 237-4357.

What is Olympus Family Dental'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 Olympus Family Dental was last updated on June 5, 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.