IndividualActive
Fred Giovanini, L.D.
NPI 1386875268 · Denturist · Idaho Falls, ID
Provider details
- NPI number
- 1386875268
- Entity type
- Individual
- Primary specialty
- DenturistDental Providers
- Credential
- L.D.
- Sex
- Male
- Sole proprietor
- No
- License
- LD35 (ID)
Specialties & taxonomies
Dental Providers
Practice location
505 1st Street, Suite a
Idaho Falls, ID 83401
Phone: (208) 525-6002
Fax: (208) 232-2558
Approximate (ZIP-level) locationGet directions
Mailing address
505 1st St
Idaho Falls, ID 83401-3929
Registry dates
- Enumerated
- 2009-07-27
- Last updated
- 2009-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.