IndividualActive
Brady Carlen, DDS
NPI 1992320915 · Dentist · Pocatello, ID
Provider details
- NPI number
- 1992320915
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- D-5152 (ID)
Specialties & taxonomies
Dental Providers
Practice location
921 S 8th Ave Stop 8088
Pocatello, ID 83209-0002
Phone: (208) 282-6000
Approximate (ZIP-level) locationGet directions
Mailing address
427 Pheasant Ridge Dr Apt D
Chubbuck, ID 83202-1751
Registry dates
- Enumerated
- 2020-06-15
- Last updated
- 2020-06-15
- Certified
- 2020-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.