Godfrey, Duane Kent
Godfrey, Duane Kent is an individual health care provider with primary practice located at 2515 Channing Way , Idaho Falls ID 83404-7516. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Godfrey, Duane Kent can be contacted via phone (208) 529-4321.Contact Information
Primary practice address
2515 Channing Way
Idaho Falls ID 83404-7516
Phone: (208) 529-4321
Fax: (208) 529-8609
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D1637 | Idaho |
Profile Details
| NPI number | 1538135371 |
|---|---|
| LBN Legal business name | Godfrey, Duane Kent |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | May 7th, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538135371 | NPPES |
| Idaho | MEDICAID | 000755500 | |
| Idaho | Other | 835199 |
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