IndividualActive
Bryndon Belnap, DDS
NPI 1164135802 · Orthodontics and Dentofacial Orthopedics Dentistry · Pocatello, ID
Provider details
- NPI number
- 1164135802
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- D-5477-OR (ID)
Specialties & taxonomies
Dental Providers
Practice location
1133 Call Creek Dr.
Suite B
Pocatello, ID 83201
Phone: (208) 232-0464
Approximate (ZIP-level) locationGet directions
Mailing address
1133 Call Creek Dr.
Pocatello, ID 83201
Registry dates
- Enumerated
- 2022-12-27
- Last updated
- 2022-12-27
- Certified
- 2022-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.