# POWER COUNTY DENTAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093187544
- **Authorized official:** GREGORY A MILLER D.D.S. (PRESIDENT)
- **Authorized official phone:** (208) 226-2976

## Contact information

- **Practice address:** 843 REED ST, AMERICAN FALLS, ID 83211-1336
- **Practice address phone:** (208) 226-2976
- **Practice address fax:** (208) 226-1068
- **Mailing address:** PO BOX 189, AMERICAN FALLS, ID 83211-0189
- **Mailing address phone:** (208) 226-2976
- **Mailing address fax:** (208) 226-1068

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | D2038 | ID | Yes |

## Other

- **Enumeration date:** 10/23/2015
- **Last updated:** 10/23/2015