NPI age
3 years
Enumerated 2022-10-13
● Active Type 2 · Organization
Modern Smiles Pocatello Pc
Modern Smiles Pocatello Pc is 1 of 202 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Frank
Credentialing Coordinator
Last NPPES update
2023-02-10
Source: monthly bulk 2026-05
How this organization compares
Across 202 active clinic/center providers in Idaho.
NPI age
3 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2022 → 2026
2022-10Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
1800 Flandro Dr Ste 340
Pocatello, ID 832024944
Mailing address
1800 Flandro Dr Ste 340
Pocatello, ID 832024944
Authorized official
Stephanie Frank
Credentialing Coordinator
📞 5095706879
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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