# TOENJES BRIZZEE & ORME PA

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

## Provider details

- **NPI number:** 1184836249
- **Authorized official:** DR. JOHN RF TOENJES DDS (DENTIST)
- **Authorized official phone:** (208) 624-3757

## Contact information

- **Practice address:** 305 E 5TH N, SAINT ANTHONY, ID 83445-1626
- **Practice address phone:** (208) 624-3757
- **Practice address fax:** (208) 624-4703
- **Mailing address:** PO BOX 567, SAINT ANTHONY, ID 83445-0567
- **Mailing address phone:** (208) 624-3757
- **Mailing address fax:** (208) 624-4703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 03/20/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8073966 | — | ID |