# AFFORDABLE FAMILY DENTISTRY PC

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

## Provider details

- **NPI number:** 1245560945
- **Authorized official:** DR. TRACY DEAN JENKINS DDS (PRESIDENT)
- **Authorized official phone:** (208) 881-9177

## Contact information

- **Practice address:** 1400 E 17TH ST, IDAHO FALLS, ID 83404-6269
- **Practice address phone:** (208) 881-9177
- **Practice address fax:** (866) 767-0878
- **Mailing address:** 1400 E 17TH ST, IDAHO FALLS, ID 83404-6269
- **Mailing address phone:** (208) 881-9177
- **Mailing address fax:** (866) 767-0878

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D-4216 | ID | Yes |

## Other

- **Enumeration date:** 01/04/2010
- **Last updated:** 10/20/2023