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Search › Idaho › General Practice Dentistry

Robert Fackrell, DDS

NPI 1215072798 · on the registry since 2007 · sole proprietor

Practice

Address
415 N 3rd Ave Ste A
Pocatello, ID 83201
Phone
(208) 233-2355
Fax
(208) 233-0582
Organisation at this address
Robert L. Fackrell Dds Pa
Nobility Behavioral Health Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-01-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho