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ISU DENTAL HYGIENE CLINIC
NPI 1972720936
Dental Hygienist in Pocatello, ID

Active since April 19, 2007
999 MARTIN LUTHER KING JR. WAY, POCATELLO, ID 83209(208) 282-3282(208) 282-5355 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Isu Dental Hygiene Clinic NPPES

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

ISU DENTAL HYGIENE CLINIC (NPI 1972720936) is a healthcare organization registered as a dental hygienist in Pocatello, Idaho and active in the NPI registry since April 2007. The organization lists Brian Robert Crawford, Program Director Dental Hygiene, as its authorized official.

NPPES Registry Identity

NPI1972720936
Entity TypeOrganization
Primary Taxonomy124Q00000X
Legal Business NameIDAHO STATE UNIVERSITY
Location Address999 MARTIN LUTHER KING JR. WAYPocatello, ID 83209-8048
Mailing Address921 S. 8th Ave., Stop 8048Pocatello, ID 83209-8048 · (208) 282-3282 · Fax (208) 282-5355
Phone(208) 282-3282
Fax(208) 282-5355
Organization SubpartNo
Authorized OfficialBrian Robert CrawfordProgram Director Dental Hygiene · (208) 282-5275
Enumeration DateApril 19, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1972720936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
999 MARTIN LUTHER KING JR. WAY, Pocatello, ID 83209
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Other Names 1

Doing Business AsIsu Dental Hygiene Clinic

Other Identifiers 1

Medicaid8060975ID

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

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 Idaho State University's NPI number?

The NPI number for Idaho State University is 1972720936. It was assigned to this organization in the NPPES registry on April 19, 2007. The provider is doing business as Isu Dental Hygiene Clinic.

Where is Idaho State University located?

Idaho State University is located at 999 Martin Luther King Jr. Way, Pocatello, ID 83209. The listed phone number is (208) 282-3282.

What is Idaho State University's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Idaho State University was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.