Organization · NPI-2

Aspen Valley Family Dentistry

Dentist · Idaho Falls, ID

NPI number1952316341
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1952316341
Entity type
Organization (NPI-2)
Legal business name
Aspen Valley Family Dentistry
Organization subpart
No
Enumeration date
Jul 31, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistD3710IDYes

Other names

  • Marcus Neff DDS (Other Name)

Practice location

3423 Merlin Drive
Suite 100
Idaho Falls, ID 83404

Phone 208-523-4181 · Fax 208-523-4182

Mailing address

3423 Merlin Drive
Suite 100
Idaho Falls, ID 83404

Phone 208-523-4181 · Fax 208-523-4182

Authorized official

Marcus D Neff
Owner/Dentist
2085234181

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dentist providers in Idaho Falls, ID