IndividualActive
Brett Davis, DMD
NPI 1245601780 · Dentist · Idaho Falls, ID
Provider details
- NPI number
- 1245601780
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- D-4681 (ID)
Specialties & taxonomies
Dental Providers
Practice location
3315 S Holmes Avenue
Idaho Falls, ID 83404
Phone: (208) 522-4491
Fax: (208) 522-4662
Approximate (ZIP-level) locationGet directions
Mailing address
3315 S Holmes Avenue
Idaho Falls, ID 83404
Registry dates
- Enumerated
- 2015-10-09
- Last updated
- 2021-12-29
- Certified
- 2021-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.