IndividualActive
Douglas Pfister, ASLD
NPI 1386829562 · Denturist · Idaho Falls, ID
Provider details
- NPI number
- 1386829562
- Entity type
- Individual
- Primary specialty
- DenturistDental Providers
- Credential
- ASLD
- Sex
- Male
- Sole proprietor
- No
- License
- LD19 (ID)
Specialties & taxonomies
Dental Providers
Practice location
554 4th Street
Idaho Falls, ID 83401
Phone: (208) 523-2380
Fax: (208) 523-2380
Approximate (ZIP-level) locationGet directions
Mailing address
554 4th Street
Idaho Falls, ID 83401
Registry dates
- Enumerated
- 2008-01-07
- Last updated
- 2008-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.