Memmott, John
Memmott, John is an individual health care provider with primary practice located at 2300 E 17Th St , Idaho Falls ID 83404-6504. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Memmott, John can be contacted via phone (208) 525-8383.Contact Information
Primary practice address
2300 E 17Th St
Idaho Falls ID 83404-6504
Phone: (208) 525-8383
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | D-1870-PD | Idaho |
Profile Details
| NPI number | 1801944913 |
|---|---|
| LBN Legal business name | Memmott, John |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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