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Search › Idaho › General Practice Dentistry

John Mooney, DMD

NPI 1386739720 · on the registry since 2006 · sole proprietor

Practice

Address
333 West Cedar
Pocatello, ID 83201
Phone
(208) 233-6912
Fax
(208) 233-6921
Clinicians at this address
2

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
2007-07-08

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