NPI 1033280136

Ryan T Kidman, DDS

Practitioner General Practice Dentistry Idaho Falls, ID

Practice location

Address: 139 Alturas St, Idaho Falls, ID 83401-4309
Phone: (208) 523-5090
Fax: (208) 895-0583

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence D4006 (ID)

Other Dentist providers in Idaho →

Registry record

NPI: 1033280136
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Nov 2006
Record last updated: 7 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.