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MODERN SMILES POCATELLO PC
NPI 1609592435
Clinic/Center - Dental in Pocatello, ID

Active since October 13, 2022
1800 FLANDRO DR STE 340, POCATELLO, ID 83202(208) 238-1900 Get Directions Write a Review

NPPES record last updated: February 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 10, 2023, Oct 13, 2022 (2 updates tracked since 2022).

About Modern Smiles Pocatello Pc NPPES

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

MODERN SMILES POCATELLO PC (NPI 1609592435) is a healthcare organization registered as a dental in Pocatello, Idaho and active in the NPI registry since October 2022. The organization lists Stephanie Frank, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1609592435
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMODERN SMILES POCATELLO PC
Location Address1800 FLANDRO DR STE 340Pocatello, ID 83202-4944
Mailing Address1800 Flandro Dr Ste 340Pocatello, ID 83202-4944
Phone(208) 238-1900
Organization SubpartNo
Authorized OfficialStephanie FrankCredentialing Coordinator · (509) 570-6879
Enumeration DateOctober 13, 2022
Last NPPES UpdateFebruary 10, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2023
✔ NPI 1609592435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1800 FLANDRO DR STE 340, Pocatello, ID 83202
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Other Providers at the Same Location NPPES

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

JOSH BOYD DMD PLLC
Clinic/Center (Dental)
1800 FLANDRO DR STE 340
POCATELLO, ID 83202
Bannock County (303) 349-6579

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 Modern Smiles Pocatello PC's NPI number?

The NPI number for Modern Smiles Pocatello PC is 1609592435. It was assigned to this organization in the NPPES registry on October 13, 2022.

Where is Modern Smiles Pocatello PC located?

Modern Smiles Pocatello PC is located at 1800 Flandro Dr Ste 340, Pocatello, ID 83202. The listed phone number is (208) 238-1900.

What is Modern Smiles Pocatello PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Modern Smiles Pocatello PC was last updated on February 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.