Van Dyke, Rufus

Van Dyke, Rufus is an individual health care provider with primary practice located at 1501 Bench Rd , Pocatello ID 83201-2443. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Van Dyke, Rufus can be contacted via phone (208) 237-3330.

Contact Information

Primary practice address
1501 Bench Rd Pocatello ID 83201-2443
Phone: (208) 237-3330
Fax: (208) 237-3347
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X D-3206-OR Idaho

Profile Details

NPI number 1780604702
LBN Legal business name Van Dyke, Rufus
Credentials DDS, MCL.D
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jul 8th, 2007 - about 18 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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