Search › Idaho › 122300000X
Paul Gagnon, D.M.D
NPI 1699811463 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1169 Call Creek Dr
Suite A
Pocatello, ID 83201 - Phone
- (208) 233-8620
- Organisation at this address
- Care Creek Dental Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-11-14
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