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 |
Popular Providers
-
Gaffner, Vernon O
333 S Woodruff Ave , Idaho Falls ID 83401-4322 -
Pearson, William Edwin
749 Oxford Dr , Idaho Falls ID 83401-4203 -
Simpson, Brent Johnson
2960 Cortez , Idaho Falls ID 83404 -
Godfrey, Curtis John
2515 Channing Way , Idaho Falls ID 83404-7516 -
Richey, James
2205 Channing Way , Idaho Falls ID 83404-8016 -
Aaberg, Jennifer Lindzi
2818 S 25Th E , Idaho Falls ID 83404-6509 -
Olson, Brant N
250 S Skyline Dr Suite 5, Idaho Falls ID 83402-3292 -
Tall, Michael Aldon
3381 Merlin Dr , Idaho Falls ID 83404-7405