IndividualActive
Brent Cline
NPI 1487148979 · Dentist · Pocatello, ID
Provider details
- NPI number
- 1487148979
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- D4930 (ID)
Specialties & taxonomies
Dental Providers
Practice location
675 Yellowstone Ave
Pocatello, ID 83201-4511
Phone: (208) 478-5700
Approximate (ZIP-level) locationGet directions
Mailing address
467 Pheasant Ridge Dr Apt B
Pocatello, ID 83202-1755
Registry dates
- Enumerated
- 2018-06-18
- Last updated
- 2018-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.