DR. GLENN WILLIAM GODFREY DDS
NPI 1558433219
Dentist - General Practice in Pocatello, ID

Active since November 15, 2006
1980 BIRDIE THOMPSON DR, POCATELLO, ID 83201(208) 233-8750 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Glenn William Godfrey Dds NPPES

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

DR. GLENN WILLIAM GODFREY DDS (NPI 1558433219) is an individual general practice provider in Pocatello, Idaho, licensed in Idaho (D1592) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1558433219
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GLENN WILLIAM GODFREYCredential: DDS
Location Address1980 BIRDIE THOMPSON DRPocatello, ID 83201-2755
Mailing Address1980 Birdie Thompson DrPocatello, ID 83201-2755 · (208) 233-8750
Sole ProprietorNo
Enumeration DateNovember 15, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1558433219 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 · D1592
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.
1980 BIRDIE THOMPSON DR, Pocatello, ID 83201

Other Providers at the Same Location NPPES 3

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

Dentist (General Practice)
1980 BIRDIE THOMPSON DR
POCATELLO, ID 83201
Dentist
1980 BIRDIE THOMPSON DR
POCATELLO, ID 83201
Clinic/Center (Dental)
1980 BIRDIE THOMPSON DR
POCATELLO, ID 83201

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 Glenn Godfrey's NPI number?

The NPI number for Glenn Godfrey is 1558433219. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Glenn Godfrey located?

Glenn Godfrey practices at 1980 Birdie Thompson Dr, Pocatello, ID 83201. The listed phone number is (208) 233-8750.

What is Glenn Godfrey'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 Glenn Godfrey was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.