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Search › Idaho › Periodontics

Richard Davis, DMD

NPI 1316670698 · on the registry since 2022 · sole proprietor

Practice

Address
1980 1st St
Idaho Falls, ID 83401
Phone
(208) 350-3897
Clinicians at this address
2

Additional practice sites

  • 1130 S Hwy 89, Jackson, WY

Registry record

Primary taxonomy
Periodontics
1223P0300X
Also registered as
Periodontics
Licence states on file
WY, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-07-30

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