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FACKRELL FAMILY DENTISTRY
NPI 1801225180
Dentist in Pocatello, ID

Active since November 06, 2013
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 Fackrell Family Dentistry NPPES

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

FACKRELL FAMILY DENTISTRY (NPI 1801225180) is a healthcare organization registered as a dentist in Pocatello, Idaho and active in the NPI registry since November 2013. The organization lists Robert L Fackrell, President, as its authorized official.

NPPES Registry Identity

NPI1801225180
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameROBERT L. FACKRELL DDS PA
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
Organization SubpartNo
Authorized OfficialRobert L FackrellPresident · (208) 233-2355
Enumeration DateNovember 6, 2013
Last NPPES UpdateJanuary 13, 2015
✔ NPI 1801225180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in ID · D3134
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

415 N 3RD AVE STE A, Pocatello, ID 83201
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Other Names 1

Doing Business AsFackrell Family Dentistry

Other Identifiers 1

Medicaid1215072798ID

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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.

DR. ROBERT L FACKRELL DDS
Dentist (General Practice)
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 L. Fackrell Dds PA's NPI number?

The NPI number for Robert L. Fackrell Dds PA is 1801225180. It was assigned to this organization in the NPPES registry on November 6, 2013. The provider is doing business as Fackrell Family Dentistry.

Where is Robert L. Fackrell Dds PA located?

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

What is Robert L. Fackrell Dds PA's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Robert L. Fackrell Dds PA accept?

Health plans from UnitedHealthcare list Robert L. Fackrell Dds PA 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 L. Fackrell Dds PA was last updated on January 13, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.