# VERNON O. GAFFNER, D.M.D., P.A.

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

## Provider details

- **NPI number:** 1295995652
- **Authorized official:** VERNON O GAFFNER D.M.D. (DENTIST)
- **Authorized official phone:** (208) 524-2034

## Contact information

- **Practice address:** 333 S WOODRUFF AVE, IDAHO FALLS, ID 83401-4322
- **Practice address phone:** (208) 524-2034
- **Mailing address:** 333 S WOODRUFF AVE, IDAHO FALLS, ID 83401-4322
- **Mailing address phone:** (208) 524-2034

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | D1305 | ID | Yes |

## Other

- **Enumeration date:** 06/10/2008
- **Last updated:** 06/10/2008