Search › Idaho › 122300000X
Brodie Atwood, D.M.D
NPI 1538399316 · on the registry since 2009 · sole proprietor
Practice
- Address
- 1759 W Broadway St
Idaho Falls, ID 83402 - Phone
- (208) 313-0520
- Organisation at this address
- Atwood Family Dentistry
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 390200000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-03-24
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